HomeMy WebLinkAboutJULY 6 2015 BUILDING APPStcr L1*7At-
L4
-L295NEId HANOVE R COUNTY BUI LDING PERMIT
APPLICATION TTPE; RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
APPLICANT,S NAME:Parker Construction GLLC.
DEVELOPER:
PROIECT ADDRESS: 2356 ocean Point DriveCITY: wilmingle4
SUBDIVISION: LANdfA}1BLOCK #: lo
PROPERTY OWNER'S MIYIE:
Yicky Maitre
owNER'S ADDRESS: 2356 ocean Point Drive CITY: wj-Imington
CONTRACToR: Parker Construction Group LICENSE #: 6s883
ADDRESS: PO Box 925CITY: wrightsville Eeaqlt
EMAIL ADDRESS: chrisQparkerconstructiongroup.com
PROIECT CONTACT PERSON: Robert Jarman
PHONE #:
LOT #:
#i
zIP| 2340s
15
PHONE
ACCoUNT #: 1s888
ST:
\L ZIP:28480
PHONE #:910-367-8739
PHONE #: 919-771-8531
SUNROOM SF
BELOW
SF
SF
.4.--.
i";' !
sF
Z PoRcH soo sF
f sronnce sHeo
SF OTHER:
UNDER ROOF: 1
,9N-
# OF STORIES: Z
SF
SF
ToTAL AREA SQ FT: grrg
APPLICATION
Number
(office Use)
DATE. 6/19/L4
EXrsrrNG coNsrRucrrorrr:
I ALTERATToN
I neruovnrroru
! crruenal REPATRS
! nelocarron
NEW
CONSTRUCTION:
f enECr NEW RESTDENCE or f] nOOrrrON TO EXTSTTNG RESTDENCE
**PLEASE CHECK AND ANSWERALL THAT APPLY TO YOUR PRO]ECT:
trn
f nrr GARAGE 136e
GREENHOUSE
TOTAL HEATED SQ FT: e_.1ry_ TOTAL SQ FT
TOTAL PROIECT COST 1r-e." t-or) 3 $ 3,600,000
E oer GARAGE
B eoor- 618 _ sF
! oecr
Is Any ELECTRICAL, PLUI|IBING or mECHANICAL Work Being Done to the Accessory Structure? Q Ves U Uo
If the pnoject
is a Relocation, is thene a Natunal Gas Line
rs thene Electricat Powen on this Building? KdJl ves Cl ruo
on the Curnent site?
Q ves 0 uo
pRopERTy usE
/ occuPANCY:
f srrucr-r FAMTLY
I ouer-ex
! rowruHousr
DESCRIPTI0N 0F tdORK: Build new Residence
and ordinances and regulations. The NHC Development Services Center will be notified of any changes in he approved plans and specifications or change in contracbr or
contracbr informatjon. -*NOTE: Any Work Performed W/O the Appropriate Permits will be in Violation of the NC StaE Bldgs Up To $500.00-"
0WNER/CONTRACTOR: chris ParkerSIGNATURE:
(Print Name)****d(*:*,1*********,****'1.***(i(r(**(r(,****t ********:*****,*****r.*************>k*********r.**
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
KiI VES Kf] ruO
TOTAL ACRES DISTURBED: 1.0593
EXIST LAND DISTURBING PERMIT: JCTI YES I6JI TO
wArER: p crnua
f coNr'rururry sysrEM
f] enrvarr well fl crrurnnl well
sErdER:
[] creua
f crrurnal sEprrc
f] enrvare sEprrc
f commururrY sYSTEM
**+ SEPARATE PERI{ITS REqJIRED FOR ELECT,
'iIECH,
PLBG, GAs EQUIP, PREFABS & INSERTS **{'
*'1.'5.1i111',i---.?.rffl..?.ff.T-ll1'l'.'-'.x-lil'..9.:lliff.r:H..-F..HI'.'*.-.*.0..'-'.110ff1.
ZONE:OF FICE R:
(FoR oFFICE USE oNLY) REVISED DATE
04/u/12
SETBACKS: F:_ LH:_ RH:_ B:_
EXISTING IMPERVIOUS AREA: 8oo SQ FT
NEI^J II{PERVIOUS AREA: 10s60 SQ FT
Appnoval:City:_ DATE:_ FL00D:BF E+2ft=
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLICATTON TYPE; RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project ResponsibilitY"
CITY:
?7re0 L, jl
APPLICATION
Number
(office Use)
,J
-il-/{DATE: / /
Pxone r, 1' ^ -( q'7?zw;&//
*,/zw,&aS
PHoNE s: 4 lO
- 78rtt -
74 D
*, 1/ozC'l- <.t77
77
LOT
PHONEPROPERTY OWNER,S l'lAfiE:
Oh,INER,S ADDRESS:
EMAIL ADDRESS:
PRO]ECT CONTACT
LIC ENS E
CITY:
PHONE
PROPERTYusE
/
ION OF
SINGLE FAMILYDUP L EX
't/*.I
EXTSTTNG CONSTRUCTTOru,
E ALTERATTON
[] nrrvOVnrrOru
f] Crrurnnl REPATRS
! nrlOCarror't
! rnrcr NEhr REsTDENCE or ffi noorrroN To ExrsrrNc REsTDENcE
ANs!{ER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
I arr GARAGEsF E oer GARAGEsF EPoRcH
-sF
! surunoom
-sF
f cnerruHousE
-
sF
I eoor-
-
sF I sronace sHED
-
sF n
loecr-sF orHER:
/r/Tt, 4/m-
to the Accessony Structure?
[ ves E *o
Gas Line on the Current Site?
[ ves E ruo
Ero
TOTAL HEATED SQ FT:
/^n' TOTAL SQ FT UNDER ROOF:
h' ' TOTAL AREA 5Q n' bo2
TOTAL PROIECT COST(ressr-ot1 ! $ A Zra )l# OF STORLtS: f
Is Any ELECTRfCAL, PLUMBING on MECHANICAL Work Being Done
If the project
is a Relocation, is there a Natunal
Is there Electrical Powen on this Building? lXlves
DESCR iZ
lhereby certify that all inbrmation in his IS will comply with the State Building Code and all ottter applicable State and local laws
and ordinances and regulations. The NHC Deany changes in he approved plans and specillcations or change in contractor or
conractor informatjon. -."NOTE: Any Work Violation of the NC State
OWNER/CONTMCTOR:
rs rHE pRopERTy LocArED rN A FLoODPLATN?
!-l veS 6 *O
Exrsrrrrc rmpERvrorJs^'o*io;''
izUio n rorAL AcREs DrsruRBE o, ,/
NEW IITTPERVIOUS AREA: (' ,L '' SQ FT EXIST LAND DISTURBING PERMIT:
I-I VCS N *O
wATER:
6 crpua
f comr,rur,rrry sysrEm
f] enrvarr wtlt-
! crrurnnl we ll
sEWER:
ffi.roro [.r*r*o, sEprrc
! *rror, sEprrc
E .o*rr*rrY sYSTEM
*** SEPAIIATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS **X
*'rr.[lll',i...H.'11.H.T.'I.1:l"#:',.r.i1'.'..F.flll',.T].:I',-i',.'.'...,-8-lYJ.',:l.,-.H:.',::',J',-
ZONE:OFFICER:
Appr"oval i_
NEW CONSTRUCTION:
**PLEASE CHECK AND
(FOR OFFICE UsE ONLY)
SETBACKS: F: LH:
REVISED DATE 04/T1,/L2
RH: B:
BFE+2ft=
N
PERMIT FEE: $Comment:
City:_ DATE :_ FLOOD:
APPLICANT,S NAJYIE:
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISION:BLOCK #:
CONTRACTOR:
ADDRESS:
#:
ST:
Subject to Frnes Up To $500.00--t
ls - lD88
NEt^l HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: COMMERCIAL
PLEASE ANSUER ATL QUESTIOIIS APPI.ICABIE TO YOUR PRO]ECT
"Prolect ResPonslbility"
appLrcANt, S'
DEVELOPER:
PRO]ECT
OCCUPAiIT/BUSINESS
PROPERTY OWNER'S
OWNER'5 ADDRESS:
e.t Cot+q
COt'ITRACT0R:,
ADDRESS;
E AIL ADDRESS:
PRO]ECT COI.ITACT
NEI,J CONSTRUCTION:
fI
ACCESSORY STRUCTURE:
If UPFIT
- iThe shell Permit
+++** IS THIS A CHANGE
IF Yes, uhat. was the Previous occupancy Typel
EREcr NEt,t srRUcruRE
I rasr rmcr
! sxrr-r-
! unrrr
f] mo ro Exrsr srfiucruRE
Is Elect Pov,,er on this Building
E*o
I
,,.?tICENSE $:ACCOUNT *:
ST:CITY:ZIP:
Exrsr coNsrRucrroN:
Ef ALrERArr.,
6 *.*l'riffi'fi^llrlil*ot nrrrrns
I RELocArrotr
rr Rerocagon, isrherea Natrr"roa" t-in"Jn-tt"
t-"*,""ii'i"l 5i"k,E-; -
'i e,-oc spilN-xl-eneoz
f]v"" ffio
PHONE *:
PHONE f:
0ccupancy Type?
A 09 -
)51t2
oF occuPANcY usrr
I vrs
t,Jhat is
Ino
the Neu
ARCH DESIGN PROFESSIONAL:
ENGR DESIGN PROFESSIoMLT
DESCRIPTION OF I,.JORK:
ls food or beverages p(epared or seryed in thts struaure?
[ves fifruo lsThe Propefty Located lnThe Floodplaln?
ff ves
and localLaws and ordi
o, chanoe in conlraclor
Subjeclio Frnes lJp To
Dlsct-AtMER: I tereby certly ihar a intormErion i. rhis applicsfion rs
cored and.all wor\.will co'nply wrlh l5e slale BLilding code snd sll olhe'applcable slale
il*FJ#:"il{:;Siil;"i"ii:iiJri*il*i"lriltE.""^'"1qn*:,e#H:i9,e3:tv'l,Ti,"l'l'r"'"ei,?it*i,,"'ss'ii,liBi8rfiiXR"i3sl3ifrT8:t!"i"i
Sur,reliio Frnis Uo To ss00 00"'
"**i""oi1r*"toa:
6*? &c*.fpa. stGNAruRE:/*a*-4<-*'
;nd local aws and ordlnancei 6nd reg!latrons. 1
d..hanoe rn conl'actor or coniJaclur r'rlornalroF.
sut,recrio Frnes Uo To 5500 00"'
(Oudh6.J
Noro: Dsmolton nodfca0ons & ssbostos rsmovat p€inll sppllca0ons ere lo bo submlttod uslno th€ appllcston form (DHHS_3768) whslhsr lhs tc]llr or bllldlng was tound lo
; sh A!b!no! oi nor you 616 r€qutrBd ro ca tho Nsuonrt Emt$ton Slandard3 fo. Hazardous Alr Pollutanls (NESHAP) ar (s19)707'5950 at least 1o
&yi flflor to lh€
demolhlon ol 6ny fticlllty or bultdlng. S6e A3b€sbe wob Sh€r htlpr/wvrw.epl.slrL.nc.udepu6sbestor8hmp.htnl -.f6-i):-
rorAL PROJECT COSI:I I 5d o, u a BUILDING HEIGHT:#oF
TOTAL AREA SO FT : €AN SQ FT PER FLR:
TOTAL SQ FTTUNDER ROOF:
-
# OF STRUCTURES:
ACRES DISTURBED:
-NEW IMPERVIOUS AREA:
EXST LAND DISTURBING
SO FT EXISTING IMPERVIOUS
PH:
PH:
NC R€G S:
NC REG S:
#
fl
pRopEnrv uie:
firrr", Enesreunnrur luencenlu [eouc lanr
(FOR OFFTCEUSE ONLY)
SEIBACKS: F:
REVISED OATE IUl 1/12
ZONE:_OFFICER:RH:_ B:_
BFE+zft=
Approval: I City:-DATE: FLOOD:
N
PERMIT FEE: $
,Zots5q35-
t 3-8'5(! I
APPLICATION
Number
(offt.€ u.e)
DATE:
PHINE *t Zff:2:LrZ_
,
.*r']g=str)n- ztP I t &vb I
WATER: EPTPUA flcoMMUNlrYsYSrEM EWELL trzoryryg_lqF
sEwER: E-GFpuA fr ceNrnru seerlc E i-RlvATE sEPnc flaoMMUNlrYsY
-. SEPAFATI PERMI']'S NEOUIRED FOR ELEC], MECI1. PL.I.iG, CAS EOUIP, PAEFABS & INSEFIS *'
pAyMEtrr METHOD:
ECaSn f]CrecK (PAYABI.E TO NHC) EBILLACcOUi{r EMCMSA IO|SCOWn
Comment
LH:
PHONE #:
NEII| HANOVER COUNTY BUILDING PERMIT
APPLICATI(N TYPE: RESIDENTIAL
PLEASE ANS}/ER ALL QUESTIONS APPLICAALE TO YOUR PRO]ECT
"Project Responsibility"
*ri*,, nam, ihrsn5 fi,rultorrres ti
DEVELOPER:
PROJECT ADDRESS:
SUBDIVISION:
PROPERW (IIII'IER,s
OTflER,S AIX'RESS:
CONTRACTOR:
A)DRESS:
EI4AIL ADDRESS:
PRO]ECT CO TACT PERSO :
PTONE *:
LICENSE #:
crw:0Jitrn
*:
SF
! oecr5F OTHER:
to the accessory
Gas Line on the
d*o
! rowuHousr
creun
! cour'luurry
svsrer.r
! pRwATE wELL
! ceurRal well
creua
I CENTRAL sEprrc
! enrvarr seerrc
I co MUNrry sysrEM
OCCUPA CY:SINGLE FMILY
ronr: tJouJli,A
(FOR oFFTCE USE q{LY)
SETBACKS: F: LH: RH: B:
N
REVISED DATE 64111/12
BFE+2ft=
-Dt5 -@,11
l5- /tdlo
APPLICATIOI{
ltumb€r
(oFfice Use)
DATE :
zIP: lD{Uh6;E ,lo ---*
..-r---
*. fitil'loll'rt0ll
sr: l,to
zrp: e040,
! suunoon
-sF
! cnrrmouse
Is
If
Is
Exrsrrr{G rripERvro{rs anil, l{ l'J se rr
NEr{ rrrPERvrqrs aneer I
1/1 sq rr
i'IATER:
SEI{ER:
I,*iI SEPARATE PERI'IITS REQUIRED FOR ELECT, I4ECH, .PLBG, GAs EQUIP, PREFABS & INSERTS ,.**
pAy E r r4Erlroo:
I crsr flcrec( (pAyaBLE
ro nrc)
Esr.. *.-*r E nclvrsr I orscoven
:*:1.:f:t ++,t i.***,1,*,**'t*)i )i
**,* )i:t,*:t * +* )t
+++*+ + ii ,i * )i )t :f )i:t + :1,1.:i +:i * * )i )*
*,* * *,* *,*,* ,t
* *,t * *,* *,* ,t,*,*
*,t,*,* ,*,t,* *,1)* )*:t
+*
structure?
[ v", f,ro
current site? Ll Yes [_4 t{o
ECffiEV
oher applicable SIEE and
or change in
conlraclcr
l, Fines Up To
$500.0e"
)*
** )i )* )* )i )**:t )*
**+ ir*,t
Accout{r *: l1e
srrttC6p;W
PK)NE
EXrSTrr{G CONSTTCTrO :
! AlrrRnrrOr
! nrHOVnrrOH
I eerenal neetns
I RELocATToN
J
NEr,r co sTRUcTror:
I rnrcr NEH REsrDEl{cE o"
f] aoorrrou To ExrsTrNG RE5TDENCE
**PLEASE CHECK AAID AI{SI{ER BELq{ ALL TI{AT APPLY TO YqJR PRO]ECTI / . /
dort **u, {lf sr ! orr canace tt
fl**., -b5--tE poor
-
sF
I sroue e sreo,5F
SF
TOTAL HEATED
'A ", 1,11I TOTAL SQ FT U DER NrrrT, A,111 TOTAL AREA 'q ''.
3,111
* OF STORIES:
4dTOTAL PROIECT COST tess rcrt : i 1fl0,000
Any ELECTRICAL, PLtltB[{G or iECHATIICAL Hork geing Done
the pnoject
is a Relocation, is there a t{atural
there Electrical Power on this Building?
l-lYes
PROPERW IJSE
/
DESCRIPTIOT{ OF
ZONE:
DlsCLAn ER lhereby cedjry hat a[ inbrmation in
lhis applicalion is
cofiect and all workwill comply wilh fie StEte Building
and ordinances and €gulalbns. The NHC Dev€loprnenl SeNjces C€nEr will be notf€d of any ch rg€s in lhe pro\ied pEls
TOTAL ACRES DISTURBED:
,13
EXIST LATID DISTURBII{G T:NNTT: f]"r, /*
cooracbr infofmarbn.
'-NOTE:AnyWork PerfonrEd w/O tle AppDpriac Pemitswill be in vblaibn of the NC Stats Eldg
oH ER/co rRAcro*, Cfalq SttVg(.g src AruRE:
-,,J
v (p.tnt aie)
* *,1,| *,*:t ,t
*,t.|,t,1+,t,t 't.t,t,l,t.i ,t,t + + +-'t ++ +*:i +:l ++ *,*++ ++:l + +*,i !i t *,t *:*:*:* ,t,*
* :*
*:* *
rs rHE pRopERTy LocArED rir a rloooeurrl
fl ves El ro
Coment :
OF FICE R:
PERTIIT FEE: $
Appnoval:_ City:_ DATE:_ FLOOD: _
PE Z t5- tlprS
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATION
TYPE: RESIDENTIAL
PLtAsa AritsttR ALt QUtSTtol{s AppLI(AB[t TO youi piolrr't
"Project Responsibility"
BLOC(
':
3Ot5- (e t o>-
APP LI CAT IOI{
ilunlber
(offr.. u6€)
-
oll,r. (,lzltzlts
pHo E s: qlo r{Sa_l\-ls
do
6E
APPLTCAI's
M E:
DEVELOPER:
PRO]TCT
SUSOMSIoNI
PRoPERTY ONNEnrS N,l}tEr
O{ ER'S ADDRESS;
CONTRACTOR:
ADDREss:
fl surunor'r
_ sF
! cne rmorsr
_ sr
PlOIE
ztPt
7\6
tor
l, 57
r,lol!?:US
sr: \E zrp?91,1
\
! rooL
-
sr ! sronrer sHEo
_ sF
I orcx
_ sr orxrn: Pntr'o llS sr
o{r{ER/cor{rRAcroR
r Lqntl Horyt* sr6 aruRE: v la'-._----
..*i..*.i(**+r,,*+....,.,..,(llTl,$Tl,*.r.**+.,.r,,,rr * i .
,, * . ., , r r . , r, i r +
Is rHE pRopERTy LocATED
rt{ a rlmorlarlt
I vrs ff r"
EXIsTI{G ITPERVIIIIS
mel' o sq rt
itEl{ rt}ERvro,s
*ea,, W- sq *
J
HArER: L:U cF puA
sEt{ER: N cr puA
ToTAL AcREs DIsrUnEEo:
'24 -_ .r
EXIST LAi'lD oISTURBIIG pERnIT: Ll YEs I N 'lo
"' srPARArr PERXrls fltQrrIRrL FoR flr(r, trf(H, pt86, cas rQurp, pRtrABS
a rNstRTs ,*,
pay,'r[Nr TETHoD:
! .lsr, flf,] .r..x (pAyAsrE
ro nr1
[ arlr rco.rr I x/rrso I orscovrr
*ttt*t*t,a,t,rrr*I*t,rttttatttr**ttt+r*1*:r*t**+ti+a*,ttatt*tt,**t*,tt,i*11**ttr***ratt*ti***tii,
DATE:- FLOOD:8Ft+2ft=
avi
c Ert:_ PEnirT fEf: ,_ _
LrcE sE r: -a4,{cE5 Accor[r f: t\rbt{tacrrv: Br\t',i\k- sr: -&zrP: Zet!51
prorE
r: qloqsz'-l t7s
pmrr r,9F!5Zl-!-15
t{E},r co sTRucTroN' $ ,*ra, trEU RESTDENCE or
f] ADOrrrOt TO EIT5TTNG RE5IDEI{CE
..PLEASE CHECX A}ID AIISI{ER
8EI,fi' AI-L THAT APPIY TO YOUN PRO]ECT:
EIIAIL ADDRESS:
PRoIECT coilTACT PEiSol{i
Exrsrr{6 coNsrRucrrol:
I alrrurrol f] arHovrrrolr
Eermnr nrelrns
I Rclmarrot
DECLAnIER I
har.by csnry $, rr hEm.tbn h ht! .ppflc.loo h co.r.ct .nd
I t.ort wir conptt winr 6e Srrr! Bdts.!o'lu 4ptsrble Slar. l.d lo.rl
a{ odh&es rld Egulrtlorii Inc NHC O.Etoprl.nt Sawlcls C.nt ,
rlll b€ mt5.d
otn} chr{ea h tE lpc.oyed or c,lrlos in
contrebl or
conrebr hbm$on. 'nXOTE iAny
woir Pedo.m€d
WO !l. &p.oprlrE p!fti6 ?fi be
i. Vot tion ot ln! NC
S.Er
ttvrsro o^lt a/t/l1/1,
B:
rorAt HEATED
sq fi,, *11 TorAr sQ Fr u DER aoor;3J1-to- roTAr AREA sq fi: lE{1b
PROPERTY
UsE
/
DEsCRIPTIO{ OF
ZO'IE: OFFICER:
Apprloval
i_ clty:
OCCUPAT{CY
iSTNGLE
FAMTLv
! ouelrx
f] roltnouse
t{oRx:
n corquury svsrrn
f] pRrvATE
lrElr
I crl-rRar lrtr
f] crurnr srRrrc
f] pRrvArr sEprrc
I co+rulrrv svsrrr,r
(lot orrr(a usa dtY)
SETBACrc: F: LH: RH:
rorAl PRolEcr CoST 1r*srou | $ 259Ob r oF sToRrEs: a
Is Any ELECTRICAL, PLUIiBfIG
or IECHAIJICA| ttork Being Done to the Accessory Stru(tu.el
fl ves
If the pnoject
is a Relocatlon,
ls thcre a Natuial Gas tine on the
Is there Electrical Poxer on this Suitding?
fl V"r Slo
NEI^J HANOVER COUNTY BUI LDING PERMIT
APPLICATION TYPE: ZONING
(Unincorporated Areas of County)
PLEASE PRINT CLEARLY & ANSWER ALL QUESTIONS
"Project Responsibility"
Jim Rowland / Thomson,Corder & Co.
PRO]ECT ADDRESS:
5210 US Hishway 421 North CITY: wj-Iminsron, NC
SUBDMSION: -x /BLOCK #: ll / aLOT #:
15- /bq8,
.rO5- al4 I
APPLICATION
Number
(Office Use)
DATE:6.22.20L5APPLICANT'S NAME:
DEVELOPER: N
/ A PHONE#:N/A
zIP2 284A7
.N/A_
PROPERTY OWNER'S NAME:
OWNER.,S ADDRESS: 3Oo2
Nev', Hanover
County Department
of Env. Mqmt.PHONE #: gLo-i9B-4454
CONTRACTOR:
Thomson, Corder & Co
ADDRESS: p. o. Box L2L61
EMAIL ADDRESS! fjrshadygradyGgmail.com
Highway 421 North CITY: wilminston ST: NC ZTPizBAa:-
ST: NC ZTP. 28405
#: gro-u gr -2133
#:910-791-2i33
LICENSE #: 26812
CITY: wilmington
PROIECT CONTACT PERSON:
Jim Rowfand
PHONE
PHONE
IS YOUR PROIECT:
lZ Commercial ! Residential [ ruew Installation n Replacement ! Ottren
DESCRIPTION
OF hIORK: remporary
Construction Trailer
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
[ ves El *o
IS YOUR PROIECT: I nCCESSORY STRUCTUREluusrberessthanl2reetardimensions) @ COTSInUCTION TRAILER
f] srnsorunl sALES Lor ! orHrn:
BUILDING HEIGHT: B'
ToTAL SQ FT UNDER F00R: 440
ARCH DESIGN PROFESSIOML:
ENGR
DESIGN PROFESSIOML:SCS Engineers, PC
813-621-0080
REG#:N,/A
REG #: C-1837
N/A NC
NC
PH:
PH:
N/A
NUMBER OF STORIES:
TOTAL SITE AREA:
NUMBER
OF STRUCTURES: 1 TOTAL ACRES DISTURBED:
and ordinances and regulations. The NHC Development Services Center will be notified of any changes in the approved plans and specifications or change in contractor or
contractor information. ..'NOTE: Any Work Performed W/O the Appropriate Permits will be in Violation of the NC State Bldg Code and Subject to Fines Up To $500.00-'-
TOTAL PROI ECT COST 1less Lor)
: $ 4 0 0 0
OI^INER/CONTRACTOR : rhoms onCorder & Co.SIGNATURE:
(Pnint Name)
pRopERry usr:
I RESTDENTTAL
E BUSTNESS
f] rouc f]aer ! cortroo
@ orirent
wATER:
f]creua I coulrururry sysrEM
! enrvnrr wrll zoNrNG usE cLASSrFrcATroN:
sEWER:
! creun
f, cerrrrnnl sEprrc
! nnrvnrr sEprrc
E commuNrry sysrEM
*** SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS ***
pAyrrrENT
METHoD:
fi crcx ffi cxecr (PAYABLE ro
NHc) [ nmenrclN ExpREss ilmc/vrsl DISCOVER
*X**************r<****r(r.**r(****,k****r.*r(r.****,k,k*r(*r(r.**r.r(****************r<**r.r.r<****r(1.******
(FOR OFFICE USE ONLY)REVTSED 4/r2/t2
ZONE:
-
OFFICER:SETBACKS: F
:_ LH:_ RH:_ B:-
Appnoval:BFE+2ft=
N
PERMIT TCC: $Comment:
City:DATE:F LOOD:
NEW HANOVER COUNTY
PLANNING AND INSPECTIONS DEPARTMENT
230
Government Center Dr. Suite 170
Telephone (910) 798-7308
Fax (910) 798-7060
Dennis Bordeaux
lnspections Manager
***IMPORTANT NOTICE***
FOR COMPLETE ELECTRONIC PROJECT SUBMITTALS BY EMAIT
lf you wish to submit your Commercial or Residential project electronically by
email, please attach your electronic plans
in the "pdf format along with your
application" before clicking the send button I
FOR COMPLETE ELECTRONIC PROJECT
SUBMITTATS IN PERSON
lf you wish to submit your Commercial
or Residential project in person on CD,
please
fill out the building permit application on line, print it, scan and put it on
your CD along with the plans and Appendix B if applicable in the "pdf format" &
bring your CD to the Development Services Center, located at 230 Government
Center Drive; Suite 170.
lf you have questions about the electronic submittal process, please call the
Development Services Center at (910) 798-7308.
Please note that we except Cash, Checks, and Credit Cards (American Express,
Discover, VISA, and MasterCard).
Thank you.
eolE-fl'/t
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE : RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
D . F.. Horl_on, Inc .
APPLICATION
Number
(office use)
DATE: 6/t6/7sAPPLICANT'S NAI4E:
DEVELOPER:PHONE #:
PROIECT ADDRESSz 1626
Vancouver Ct
SUBDIVISION: wat-erside
at woodlake
CITY: wilminsron
ZIP: 2s4r2
220
Be-Ile Terre Blvd
CITY: MyrtIe Beach
LOT #:
PHONE #: 843-646-2318
sT: sc zIPz 2951:t
ACCOUNT #:
BLOCK #:
PROPERTY
OWNER'S ]t]lAME:
OWNER,S ADDRESS: 4A13
D.R. Horton, Inc
CONTRACTOR: D.R. Horton, rnc.LICENSE #: 2961 6
ADDRESS:
4073 Belle Terre BfvdCITY: Myrtle Beaclr
ST: SC ZTP:
ru
#: gqz-eqa-zsta
*i 843-646-2378
EMAIL ADDRESS:
PRO]ECT CONTACT
emf acundoGdrhorton .
com
PERSON: Enrique Morales
PHONE
PHONE
ExrsrrNc coNsrRucrror,rt
! ALTERATToN
I neuovnrroru
f]crrurnnl REpATRS
f] nrlocarroru
NE!'J coNsrRucrroNt
I rnecr NEhr RESTDENCE or f]noorrroN To ExrsrrNc RESTDENCE
**PLEASE CHECK AND ANSWER
BELOW ALL THAT APPLY TO YOUR
PRO] ECT :
Iarr GARAGE 4es
sF ! oer GARAGEsF
E PoRCH 1r2 sF
lsurunooN _sF! eoor-SF
! sronacE sHED
OTHER:
f] cnrrruHousE
_ sF
! orcr
TOTAL HEATED SQ FT: 2032TOTAL
SQ FT UNDERROOF: :csr TOTAL AREA
SQ FT: 2i:,)e
TOTAL PROIECT COSTlressloty 3
$ r:0, q:e # OF ST0Rf ES: r
Is Any ELECTRICAL, PLUilBING
or MECHANICAL Work Being Done
to the Accessory
Structure?
ffi Ves il ruo
If the project
is a Relocation, is thene a Natural Gas Line on the Curnent
Site? ffi ver E *o
Is there E1ectrical- Powen
on this Building?
[-lVes ffi *o
pRopERTy usE
/ occUpANCy:
I srrucr-r FAMTLY
! ouelex
! rowruHouse
DESCRIPTION
OF WORK: Single Family F.esidential
and ordinances and regulations. The NHC Development Services Center will be notified of any changes in he approved plans and specifications or change in
contractor or
contactcr informatjon. --.NOTE:AnyWork Performed
W/O heAppropriate Permitswillbe in Violation of the NC State Bldg Code and Subject tc Fines Up To $500.00-."
OWNER/CONTRACTOR i EnrisueMorales /p . R. Horton, Inc . SIGNATURE :
*****r<**,***r<*,l.*r.*r.*********(Iitli#i1"]************x******************)fi*i.*r.****i(************
rs rHE pRopERry LoCATED rN A FLOODPLATN?
[*] VrS El ruO
sQ FT
sQ Fr
EXISTING IMPERVIOUS AREA:
NEW
II4PERVIOUS AREA: 346a
YEs
lll ruo
hrATERr
@ crnun
! commururry sysrEM
! enrvarr
well
! crrurnal r^tELL
sEWER:
@ crnua
fl crrurnnl sEprrc
I enrvnrE
sEprrc
! couuururry sysrEM
**{' SEPARATE PERMTTS REQUTRED FOR ELECT, MECH,
PLBG, GAS EQUrp, PREFABS
& TNSERTS **{.
*1',1].Hl11',i.-..H.'ff:..?.'X'.T-l:t'-1',.'.',-]:.Hl.E--.:l:'.1'-':H...ffi.-.ffill'*...tr-..'.'-'.'-'::1.
ZONE:OFFICER:
SF
SF
SF
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING
.23
PERMIT:
I:
(FOR OFFICE USE ONLY)
SETBACKS: F:
REVISED DATE O4/L7/1.2
BFE+2ft=sApproval:- city:-DATE :_ F
LOOD:
LH:
RH: B:
llolA
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSIIER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
Charter Builcling croup
PROJECT
ADDRESS: iB02 Kersren creek t!';1v
CITY: l",iilminqton
APPLICANT'S NAII4E:
DEVELOPER:PHONE #:
SUBDIVISION: Pcrters llecl{ t'laniai-io. ail.r c;k:l BLOCK #:LOT #:
zIP
i 2!3JJ_
1r6
PROPERTY OIINER' S
OUINER' S ADDRESS:
MIIIE: tom and Beverly Conant
C]TY:
PHON E#:
ST:
_ZIP |
_
ADDRESS: 108
Giles Ave. Surte Lr4
CONTRACTOR: charter Bui ldins Group LICENSE #: 61619
CITY: -@]!@.1__ ST:.]:IL ZIP:
2jg
PHONE #: grat 69-244aEI4AIL ADDRESS:
kirstenGcharrerbuitdinsqroup.conr
PROIECT CONTACT PERSON: sean Lelris PHONE #:
ntr
TOTAL HEATED
SQ FT:
3r5a TOTAL SQ FT
TOTAL PROIECT COSTrressrou : $ 36ir,284
SFSF
SFSF
! eoor-
! orcr
l-l sronace sueo
OTHE R :
5F
5F
UNDER ROOF: 4042TOTAL AREA SQ FT: z
# OF STORIES:
:
Is Any ELECTRICAL, PLUIT1BING or l,tECHArtlfCAL
l,lork Being Done to the Accessory Structune?
[ V"r fi ruo
If the project
is a Relocation, is there a NaturaL Gas Line on the curnent Site? [ ves [l ruo
Is there Electnical Power on
this Building?
l-l V"t flruo
PROPERTY
USE
/ OCCUPANCV:
I STruCTT FAMILY
N DUPLEX
E IOWNHOUSE
DESCRIPTION OF h,ORK: New Sinsle Family clwellins with attached garage
and ordinances and regulalions. The NHC Development Services Cenier willbe nolilied ofany changes in he approved plans and specifcations orchange in
contracrcror
contraclor informaljon "'NOTE:Any Work Performed W/O he AppropriaE Pelmils willbe in Violaiion of the NC Srab Bldg Code and Subiect t, Fines Up To $500 00"'
OWNER/CONTRACTOR
i cnarter BurL.LrLs croup SIGNATURE:
(Print Name)
x :t :t :t it it it * ,tr + + + + ,*
* * * * * * r. * * * ,i
* ,*
* + + {< * {< * + {. * * ,a r* + i. ,1. ,t ,t * ,k
x * * :f
* * :} x :} + + :t x x :t x + :} + j} + * + + + * * * * * * * * * * :t :t ,t jB ,} +
IS THE PROPERTY LOCATED IN A FLOODPLAIUT
[-I VTS
EXISTING IMPERVIOUS AREA:
-SQ
FT
NEW II.IPERVIOUS
AREA: 411 I SQ FT
MTER:
I cFpuA
E coMr4uNrry
sysrEM
E pRrvATE wELL
! crlrrRnr wrll
sEwER:
@ cFpuA
E CENTRAL sEprrc
! enrvarr sEprrc
E coMMUNrry sysTEM
ZONE :
OFFICER:
*** SEPARATE PERMITS REQUIRED FOR ELECT, I{ECH, PLBG, GAS EQUIP, PREFABS
& INSERTS IT**
pAyMENr METHoD:
Iclsn f] ftrecK (PAYABLE
ro NHc)
E AMERTCAN ExpREss
fl mcTvrsr I orscoven
*+**+*+,4+********,**x,*x**++*+*+***+*********xx:t*++*i.,t+**********x*****++++,k********x*****
(fOR OFFICE USE ONLY)
SETBACKS: F:
TOTAL
EXIST
NO
ACRES DISTTJRBED:
LAND DISTURBIN6
<L/3
penmtt: I-]YEs
E No
REVI5ED OATE O4l11/12
lels- bts3-1s - L68 4
APPLICATION
Number
(office Use)
DATE :
EXTSTTNG CONSTRUCTTON:
! ArrrnarrOri
! neruOVlrrOl'r
! Crrurnal REpArRs
E RELOCATTON
NEW CONSTRUCTION:
E ERECT NEt/ll RESIDENCE O"
! NOOTTTOru TO EXISTING RESIDENCE
**PLEASE CHEC( AND ANSWER BE LOtdALL THAT APPLY TO YOURPRO] ECT:
@arr canace sls sF
! oer cenacesF
E PoRcH : e.r sF
suN Roof4
GR E ENHOUS E
App roval
:_ City:DATE :FLOOD:
LH:RH: B:
BFE+2ft=
flT=-n?
Co ^\ ) b s-a
) 1tt
:;a/ li . ,,, ,,ni NEW
HAN,,ER couNTy BUTLDTNG
,Lk*(rr' )-la t -1
*i, . AppLrcArro[ rypE; cotrtfi4ERCrAL
*HS ; p!€As. ANsuER
Art QUEsTroNs appLr(aBlr
ro youn pRolrcT APPLTCATION
HE , "Project Responsibllity" Numben
=
(offlce use)
Xf::l:lll't rorr, DArEi 6/17/2oi.S
'--TDEVELOPER: Carotina Marine ,lermina.L Inc. PHON!
s; g1o 39a_4.t.t.t
=
PROIECT aOOneSS
r occuplur/gusrNEss NAME:
..k
crrY: w'i
lminqton zlPi 2a1t2
t-u> PROPERTY
Gowrrn, s(J
L!
OttlNER'S
NAI'IE:
Carolina Mar)ne
Terminal, rnc. PHONE
f: 910_J9s-4777
ADDRESS: 3330
Rivcr Road CITY: wilminqrorl
ECONTRACTOR: Artantic Diviriq & Merine
Conrractors, LICENsE
S: 149.)2
ADDRESS: 33.30
River
Road CITY: |.lilminqrop sT: NC Zfp: 2s4i2EiIAIL ADDRESS; PHONE *: eto__te1-24\lpROIECT CONTACT PERSON: r.1-\ 1,,,(l E. y.-drtev PHONE *: 9ro. tst 24)1.
Exrsr co*srRucrroN;
n ALrERArro*
3 orrJiJfillii 'tiT'r'i:r^.- nrparRs
fl RELocArroN
lf Relocatlon,,s rhere a Naturarcas Lrne on rhe currenr
sire?
Dy;ENo rs BLDG
spnlru-rlrneoz I v", INo
NE coNsrRucrron: ZI enecr NEld
srRUcruRE
[]rasr rnacx
f] strr-r-
[ unrrr
I noo
ro Exrsr srRUcruRE
If UPFIT
- The Shell Permit
f:
ST: NC ZIP:2841.2
Is Elect Power
on
this Buitding n yes EIro
oF occuPANcY
usrl
Ives Iuo ,.-,..
Hhat
is the New
occupancy Typel
Exsr LAND DtsruRarr,re peRiln f-l ves
I uo
SO FT EXISTING IMPERVIOUS AREA:
See .t.Rc submirrat.SO FT
*"I* IS THIS
A CHANGE
was
the Prevlous occupancy Type?IF Yes, what
ARCH DE5I6N
EN6N OESIGN
PROFESSIONAL i
PROFESSIONAL;
N/'A PH:NC REG
*:
Huqlr
L. Dickcy pH: 989-777 2OSO NC RE6
fl: 155 /I
DESCRIPTION
0F WORK:
ConLruc! "r yerril izer sroraoe Dirma
ls food or bovsragos prepsrod o{ ssrv€d ln thls
stnrture? f]yes Ellto ts The Property Locatsd tn Ths Ftoodp,Einz
Q v". I r,io
3,f?Hit*' jl;:?rr:::'J!
T;,J
,J:[],#]'*
" ,t s apprra,ion ,s ,'.(ecr ard s,r wo,k wir,(ompry w,u- rhe sra,e BL,rd,ns code and ar orhe, apphcabre srare
fl3#iilti:ffiitiiif,- ?yi?1i",1:.,rp.N3?P"il"JwT,i
t"s..#;f8:f,93iiylffJ3l[,,"",""J""llt,li",,"f"T;1r,"a;r'".1,"**rc.3ulifl*six"ili,
OWNER/CONTMCTOR: i,r: i,h.rrr
u. rv1cc.lr Lerr.
NororD€mollion notficadons & ssb6s!63 rsnovEl pomh sppllcado. s €re to b.submined uslng
{ro app cadonlorm whod|er |ho
hclllv or buildtngwesconlaln Asbosro! or not You
ar. r6quk6d to csllrho Nsdonal Emtsslon srsndarda tor xazaraois AJr porruranrr ftesiepf aigigilii)-iiio;ffi
i;;;;;;;;ffiI
demolldonofany tuclllty
orbulldlllo, S€e
fub€llos Web Stt€i
htFl r.n,w.epi.strts.nc.usJ6puntbosto./slllnp.hrnt
TOTALPROJECTCOST:
1,5OO,OOO BUILDINGHEIGHT 7a'2"# OF UNITS:
f OF STORIES: 1
f OF FLOORS: r
TOTALAREA SO FT: r e, LrooSQ FT PER FLR: .9, OOo
TOTAL SQ FT UNDER
ROOF:
rt.00o #OFSTRUCTURES:
I
ACRES DISTURBED: r.2
NEW IMPERVIOUS AREA:
see IRC s,,bmirrar
PROPERW usE: f]oFFlcE [Resreunnxr [l,leacruvrts
Ieouc Ieer [cottoo orHER:Bu]k rerninal
WATER: ECFPUA [IoOMMUNITY SYSTEM
EWELL nzoNtNG UsE cLASStFtCATtoN:
sEwER:
n CFPUA
E CEMTRAL
SEpTtC
n P-R|VATE
SEpTtC aCOIaUUN|W SVSrelA
RH:_ B:
' ., ,t :i i ,, ,l
pAyMENr METHOD:
ICnSX [cXeCX lrrvnelE ro NHc] [euenrcaN exeRess
I rucrvrsa
f] orscovrn
{FOR OFFTCE USE ONLY)REV|SED DATE 4/11/12
ZONE:_OFFIcER:SETBACKS: F:-LH:
Approval:_ Clty:_ DATE: FLOOD:
___ BFE+m=
AVN
Commenl PERMIT FEE: $
---_we
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE
: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
NArrlE:
Enrisue Morales Phillip Balderose
PROIECT ADDRESS: 220 overrook Dr
CITY: wilmin ton
SUBDIVISION: The overlook at Middle Sound
DEVELOPER:
PROPERTY
OWNER'5 NAME: D.R. Horton, rnc
CITY: Mvrtle Beach
LOT #: 2a
#zW
sT: sc zIPi 29519
ACCOUNT #:
sT: sc zTPi 29519
PHONE *: aq3-6qa-z3ts
PHONE
#: -W
OhTNER'S ADDRESS: 4073 Belle rerre B1vd.
CONTRACTOR: D.R. Horton, rnc
ADDRESS: 4073 Befte Terre Bfvd
EMAIL ADDRESS I ernfacundoGdrhorton .
corn
LICENSE #: 2951 6
CITY3 Myrtle Beach
EXTSTTNG CONSTRUCTTOT:
I ALTERATTON
f] neruOVarrOru
f]Crruenal REPATRS
! nelOCarrOru
NEW CONSTRUCTTON:
I enrCr NEW RESTDENCE or E nOOrrrON TO EXTSTTNG RESTDENCE
**PLEASE CHECK AND ANSWER
I nrr GARAGE s13
! surunoom
_sF
E orr GARAGEsF
E PoRcH
LsF
STORAGE SHED
BELOW
SF
SF
SF
! cnerruHousr
SF
SF
SF OTHER:
UNDER ROOF: Aoej TOTAL AREA SQ
# OF STORIES: 2
FT: 4091
Done
to the Accessory Structurel
ffi Ves E *o
.28
PERMIT:
N35 51
SQ FT
SQ FT
TOTAL
EXIST
NO
ACRES DISTURBED:
LAND DISTURBINGYES
lTl ruo
wATER:
I creun
! coNuulrrry sysrEM
! enrvnrr wrll I crrrrrnnL tntELL
sEwER:
[] creun
f] crrurnnl sEprrc
f] enrvnrE sEPTrc
f] comnururrY sYSTEM
{.{.* SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS ***
J casn
il cxrcx (eAvABLE
ro NHc)
ffi arr-r- Accot Nr fl mclvrsn
fl orscovenPAYMENT METHOD:
t
**********Xi<*******r(****i(******,F********************,t(*********,k*********r<***********,**r<*
ZONE:OFFICER:
(FOR OFFICE USE ONLY)
SETBACKS: F:
REVISED OATE O4/7L/L2
LH :_ RH:_ B:_
+2f
d
&ots-
Gst
15- L687
APPLICATION
Number
(office Use)
DATE2 6/ 22
/t5
ZTP: 284LI
BLOCK #: _
PHONE
PHONE #:
PROIECT CONTACT PERSON: Enrique Morales
ALL THAT APPLY TO YOUR PRO]ECT:
POOL
DECK
tr
tr
TOTAL HEATED SQ FTi 32'12 TOTAL SQ FT
TOTAL PROI ECT COST (ress
t-ot) ! $ z o:, o o o
Is Any ELECTRICAL, PLUMBING or MECHANICAL Work Being
If the pnoject
is a Relocation, is thene a Natunal Gas Line on the Cunnent Site? [ Ves El to
Is there Electnical Power on this Building?
l-lv"t E uo
pRopERTy usE
/ occUpANCy:
I srrucle FAMTLY
! ouelrx
I rowuHouse
DESCRIPTION OF hlORK: Sinqfe Familv R.esidential
and ordinances and regulations. The NHC Development Services CenEr will be notified
of any changes in
he approved plans and specifications or change in
contractor or
confactcr information. --.NOTE:AnyWork Performed W/O he Appropriate Permitswillbe in Violation of the NC State Bldg Code and Subject tc Fines Up To
$500.00"'
OWNER/CONTRACTOR:
Enrique Morales/D.R.Horton, rnc. SIGNATURE:
(Print Name)**r<******1.r<,1.X<****r.************.**r.**r.r<x,kr(*****xx************x***********{<******r.****r.**(r(*
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
II YTS
EXISTING IMPERVIOUS AREA:
NEW IMPERVIOUS AREA:
Appnoval :- City:- DATE :- FLO0D:BFE+-L- __________l-
ls t8
Zotr-&tto3
?fz t5-
tcs5
APPLICANT,S NAIYIE:
DEVELOPER: N,/A
NEW HANOVER COUNTY BUILDTNG PERMIT
APPLI1ATION rYPEr COMMERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
Joseph GiIl
PROIECT ADDRESS:
505 Soyth Front Street CITY:Wilminqton
OCCUPANT/BUSINESS NAME:
srelta Maris
APPLICATION
Number
(office Use)
DATE| 4/e/20L5
PROPERTY OWNER,S NATiIE :
OWNER'S ADDRESS:
26t4
Gail Pike
CITY: wi-lminston
PHONE #: 82B-386-1010
ZIP i 2,4ot
PHONEf: 9l-o-342-0011
ST: NC ZIPi 2a403
ZIP:.
PHONE
PHONE
Arden Rd
CONTRACTOR:
ADDRESS:
N/A LICENSE #:
CITY:
EMAIL ADDRESS:
ST:
f:
PRO]ECT CONTACT PERSON:s:
(check
All That Apply)
EXrST CONSTRUCTTON:
! nlrennrroru E] neruovnrron ElErennr-
lf Relocation, is there a Natural Gas Line on the Current Site?
ll Yes
ll No
**,r*,i Is THIS A CHANGE
was the Previous Occupancy Type?
IF Yes, what
ARCH DESIGN
ENGR DESIGN
PROFESSIONAL:
PROFESSIOML:
N/A
Guest Lodqinq
#:_
N/A PH:
# OF UNITS: 1
# OF STORIES:
r
#OF FLOORS: r
REPATRS
! nrlOCArrOn
lS BLDG SPRINKLERED?
E ves
[ ruo
NEr^t
CoNSTRUCTTON:
f] enrCr NEhr STRUCTURE
fIFAST TRACK
! Sxelr-
[ Unrrr
f] aoo To Exrsr sTRUcruRE
ACCESSORY STRUCTURE:
If UPFIT
- The SheII Penmit #:Is Elect Power on this Building I ves E ruo
oF occuPAr'rcY usE?
[ves f] No *****
Dos croomins What is the Neh, Occupancy Type?
PH:
_ NC REG
NC REG #:
DESCRIPTI0N 0F WORK: Paint wall-s & floor. replace existinq fixtures
ls food or beverages prepared or sqrved in this structureZ
fives [lruo b The Property Located ln The Floodplain?
[ Yes
El r.ro
I
DISCLAIMER: I hereby certjfy lhat all inforrhation in this application is correct and all work will
compy with the State Building Code and a.ll other applicable State
and local taws and ordinance3 and reoulatiilns. The NHC Development Services Center will be notified of any changes in the
approved plans and specifications
or chanqe in contracror or contilcior"iiioiri,Iiirjn. i;-Noie: Ahij-Woit< iierroiineo woine Appropriate permils w|ll de in violatioi of the NC State Bldg Code and
Subiectlo Fines Up To
$500.00.'-
I
OWNEF,CONTRACTOR' ,roseph Girl SIGNATURE. Joseph Gill }::lfllir*^^*---
(Qualifi€r) (Print Name)
contain Asbestos or not. You are required to call the National Emission standards for Hazardous Air Pollulants (NESHAP) at (919)707-5950 at least 10 days p(ior to the
demolition of any facility or building. See Asbestos Web Site: http://www.epi.slate.nc.us/epi/asbestos/ahmp.html
TOTAL PROJECT COST: <S3OOO BUILDING HEIGHT Z .
TOTALAREASQ FT: T269SQ FT PER FLR: rzog
TOTAL SQ FT UNDER ROOF: :,ze g # OF STRUCTURES:
r
ACRES DISTURBED: O
NEW IMPERVIOUS AREA: o SQ FT EXISTING IMPERVIOUS AREA:3359SQ FT
pRopERTyusE: EoFFrcE ERESTAURANT
f]uencnurlE EEDUC leer [coruoo orHER._Ls&LE_-
WATER: flCFPUA fICOMMUNITYSYSTEM fIWELL DZONINGUSECLASSIFICATIoN: uMx
sEWER: ECFPUA ECENTRALSEPTIC LIPRIVATESEPTIC fICOMMUNITYSYSTEM
", SEPARATE PERMITS REOUIRED FOR ELECT. MECH. PLBG, GAS EOUIP, PREFABS & INSERTS -"'
PAYMENTMETHOD:
[CnSn [CneCr(PAYABLETONHC) [AUenTCnNEXPRESS [tUCrutSe EOtSCOVen
(FOR OFFICE USE ONLY)REVISED DATE /Vl1112
ZONE:_OFFICER:SETBACKS: F:_ LH:_ RH:_ B:_
EXST LAND DtSTuRBtNG pERMrr?
[ VrS EluO
Approval:_ City:- DATE:- FLOOD:
Comment,
BFE+2ft=
N
PERMIT FEE:$-
APR 1 4 ?015
Tots 0/00
NEW HANoVER
couNTy BUTLDTNG penmrl
AppLrcarroN
Number
riiii-S
APPLICATION IYPE; FACILITY LICENSING
PLEASE PRINT CIEARLY & ANS ER ALL QUESTIONS
APPLICANT,S MIitE:
DEVELOPER:
o,i'Et
1-1.- 15
"Project Responsibillty"
PRO]ECT ADDRESS:
SUBDIVISION:
.
':-. -, I
PROPERTY OWNER'S NA E: ',, , A "./ Wa/'1 '-nc.J PHONE
owNER,s ADDRES5 - J crrY: t--t
l*,
coNTRAcToR: .5A
n D,arau.\^ LICENSE #:
AIDRE5s: Tcrrr, L.,J. L,a
BLOCK #:
ZIP: )-t'iai
ST: ^J ' ZIP:
accouNT
#:
ST: ZIPI
PHoNE
#: +f i- ta L.
PHONE #:
LOT
#:
ElillAIL ADDRESS:
PRO]ECT CONTACT
and ordinances and regulalions. The NHC Oevolopment Services Centerwjllbe notiJled ofany changes in the approved plans and specificalions orchange in coniractor or
(CHECI(
ALL THAT APPLY)
! aour-r clne
! ADULT CARE-DFs
! cr'rrr-o cARE-Home
! cnrr-o cane ceruren
ffnlr
DESCRIPTION OF hIOR(:
IF NO,
I^JHAT IS
WHATARE THE HOURS PER DAY?
LICENSING AGENCY
WHICH YOU ARE APPLYING ?
rs rHE pRopERw LoCATED rN A FLooDILATN?
fl v"s
fi
rs ELEcTRTcAL powER oN THE BUTLDTNG?
fi[ver ff ro
rs A tilTunlL Gls_ I\NE oN rHE pRopERryl ftves I uo
roral sQ rr, / 7Do
*,( PLEASE ATTACH A COPY
OF THE APPLICATION
& FLOORPIAN YOU ARE SUEIVIITTING TO THE STATE
r.rarER:
E creun
! coMMUNrry
svsrrN
! PRTVATE r^rELL
SEWER:
n creun
! CENTRAL sEprrc fl nnrverr seerrc
! coMMUNrry sysrEr{
( FOR OTFTCE USE O{rY)
SETBACKS: F:-LH: RH: B:
N
PERMIT
pAyr,,rENr rirErHoD:
ff cAsH I cnecr (payABLE
ro NHc) f] srll accouu ,./vrsa fi orscoven
* )r**)*** )t ,*
* {.,t:* *,* )t
*,} ,t ,t ,t,t * r( * x rr x )*
*** x *x+x:t + )t ,*
* )t:t * )t*)**++ )t
x(,t,t,* {( r* )t )**,k*,t,k,t:*,***,t,****)r*t)* x:t ,}:t
)t* )t
*,r
*** STPARATE PERIiIITS RTQUIRED TON ILECT, IITCH, PLEGJ GAS EQUIP' PREFABS
& II{S[R1S ***
EmC)tr
mo
G
etd
No
zoNE:
_oFFICER:
Approval :_ City:
Comment:
REVISEO
4/72/12
TYPE/CLASSIFICATION SPECIFIED BY THE STATE
-
DATE:- FLOOD:
BFE+2ft= .\a\
,rrr, -lC)
--\
conlractor information.
TOTAL # OF PERSONS UNDER CARE: / Vl,] \ AGE MNGE OF PERSONS UNDER CARE:
rs CARE ro BE pRovrDED or'r a ze frf,G-r E ves
fi\o
SIGNATURE :
Qots+lbt
APPLICATIO{
l{rmber
(offtce use)
APPLICAI{T'S I{A}iE: MELVTN BUTLpTNG INC DATE: s-12,1s
DEVELOPER: MEv]N BUILDING PIO E #: gaa - 47 o- 5443
PROJECT ADDRESS: 4105 EDWARD HYDE PLclw: ILLyINqI9!_ ztP
I Z9!!L
sU8OIV$ION: CLORENDON BLOCK *:LOT *: L_
*: 339:3f@
ST : IS_ zIP : ggg
ST:g ZIP:
.ry
*: .2.u:3r:!i3f-
*: -9-LL-1:.9:5344_
PROPERW Oi{NER,S MTIE: MELV]N BUILDING PK)NE
OI {ER,S ADORESS: Po Box 221 CITY: HARRELLS
PRO]ECT CONTACT PERSON: Jom{ MELVIN
NEW HANOVER COUNTY BUILDING PERMIT
r'-/{-8G
APPLICAIIfiT TYPE.. RESIDEIIITIAL
PLEASE AT{sI{ER
ALL q'ESTIOI{S APPLICABLE TO YO,R PRO]ECT
"Project Responsibllit/
EXTST S CONSTRUCTTOT{:
I alrenarrOr
! nrrOVArrOn
! errrnal neearns
! RELocATToN
NEt{ COi{STRUCTIOT:
I enrCr NEH RESIDEi{CE o" E ADOrrrOt TO EXISTII{G RESIDENCE
**PLEASE CHECX A D AI{SI{ER EELO{
fiarr cannce 3es sF
! surunooN
_ sF
! eneeruuousr SF
TOTAL HEATED SQ FT:
221G TOTAL SQ FT UIIDER ROOF:
.@_ TOTALAREA sQ Frt )BtL
TOTAL PROIECT COST 6ess rory
: $ 98.9.9,9__# OF STORIES3 2
COI{TRACToR: MELVTN BUTLpTNG
AITDRESS: Po Box 221
EItAIL ADDRESS
: j
ohnmelvio@melviobuildinc. com
LICETEE *: 3535e
CITY: HARRELLS
P[I)t{E
Ptot{E
ALL IIIAT APPLY TO
E orr ornaar
YOUR PRO]ECT:
I eoor-SF
! orcr
sr
[f eoncn 221 sF
fl sroRaer sxro
5F OTHER:
SF
SF
v
rrtc)m
rno
C
=.
<0
et
)za
OF FICE R:
Approval:_ City:_ DATE:- FLoOD:B F E+2ft=
Is Any ELECTRICAL, PLUiBI G or ITECHAUCAL Work Eeing Done
to the Accessory Structure? fl Ves I lo
If the project
is a Relocation,
is thene a Natural Gas Line on the Current Site? [Yes I uo
Is there Electrical Power on this Building? [Ves Ifo
pRopERw usE
/ occupar{cy:
I srNcle ramrlv
f] ruer-rx
I To]rNHousE
DESCRIPTION OF I{ORK: ERECI NEw HoME
DISCLAIMER lhereby cefily hat all inbrmation in hls applicaton is conect and allwork willcomplywith he Si,are Building Code and allotler applicable SlaE and locst ta!,s
and ordinances and regulations. The NHC Developmenl Seruices CenCr will be notfied olany changes in lhe plans andor change in contracbror
conir*lor inbrmal,on.
'"llOTE: Any Work Performed w/O t|e Appropria€ Permits will be in VOlalion of lhe NC!c Fines L,p To S5O0-0C"
OtINER/CONTRACTOR : .rorw Mer,vrw SIGNATURE :
(p.int xane)
,t ++ +,1*r +,i*+ * !t !t,i +* * * *** ****i**r, *** * *** * * r,,r *,r *,* *:* * )**)**,l*r.*,.)tr.,r
***)**,* )i
*,t )i,t + )t
***)t*)i+*ri+
I5 THE PROPERTY LOCATED IN A FLOODPLAIN}
N YES NO
TOTAL ACRES DISTURBED: ,O5
EXrST LAI{) DrsrURBrr{G pER
rr: fl VrS
I r{o
MrER:
I crpuA
n co]r'r{JNrry svsrrm
! pRrvATE r.rELL
I ceNrRrl wH-L
SEHER:
E crrua
I cEr{rRAL sEprrc
f} enrvarr sEprrc
E coflrf,,l,rrw sysrEM
'}:T'It SEPARATE PERI.,IITS REQI'IRED FOR
ELECT, I.IECH, PLBG, GAS EQUIP, PREFABS 8 INSERTS ***
pAy E T llEl}ror,:
E casx
E crecK (PAYABLE
ro ilHc)
E AilERrcal{ ExpREss
[ rc7vrsl E orscovrn
't * * t,t,t !t,t * 'i )i
't *,t 't,t * * * t:tt *:a*,|:f *t *,1** **,ll,l ,|t'}:t*:l t * *t **t+t,|lll*:i* 'i*!a**,*!t,l 'l !a,t:a
't,a *,4,1tt * *,1,t
'a '*,t,i,i +,t
ZONE:
EXISTI 6I PERVIOIJS AREA:
EI{ IiiPERVIdJS ANEA:
SQ FT
SQ FT
(FOR OFFTCE USE O{-Y)
SETEACKS: F: LH:
iEVI5ED DATE O4l11/12
B:
Cqment:
RH:
Jr*rrr rrr,
]ZLL
/-
Jun 30 15 11 :56al\4eade Electric Company9103972880
RECEIVED JUN
3O 20[
NEtd HANOVER COUNTY BUILDING PERI{TT
APPLZCATION
typE (Chech one):
! cnanee oF
u;;'";'Ei ;;iroo,i#Zi*r,FrcArroN
PLEASE AIISII€R
AL! QUESTIONS APPLICAE'E TO YOUR PRO]E(T-Project Responsi-bllity.
APPLIOqT{T'5 MtrtIE; BrVAN
MEAdE TLI
DEVELOPER:
PRO]ECI AIX)RESE PTONE
fr
OCCUPANT/BUSTNESS
M E:
crry:
nirriooa",,- ---Ep,-liii'i
Co'TITRACTon
I !!=eaate ElecElic ConFany,
hc-
t*a.
r-fu crrv:
wil".inqcon -.-- ;r,*a-Er6
PROJECI CONTACT PERSON: Enan ueade
ARCH DESIGN Pf,OFES TO AL:
PROPERTY OII ER,S
MtlE: rnler**:"::::: t;,ffi
:ffilil.+f
'o
nuldor i, rbrmston. nT{orE: An, $/orr psrromed wio ,,"
+"-,c" "i-ffi ;;,yffI[:" '].:T.aPpovtd olt," End
sodficauo*
".
.r,",g. rn
"..ru-*ro. o,
.ta6?t- ^-^- r_V -
.in,6,{, wtr, vE€n(s otoE NCStaEBUg Cod.and Sl.qtcl !o FrnEs
thTo tEm-OO_check one: E] conmenc:.al
f] Resrdential rs rHE pRopERw
;"r;" ;;-";:^:T::.::*-"'"t-rornl pno]I-cr ao=,
,.,*.,7
i . Y LocarED
rx A FLooDPLATNT
[l vet I no
a,1,1o{NER/coirrPacroR: Marv An', Meage srcitaruRE: )
ti' lt^q 0.r,-J h<A^",<
rorat anea sq iy1 aRFA oEp Er^^D.* o;-r;;;;, \_jrAREA
pER
FLooR: rorAlfa Fr UNDER
R@F:
--;r;;r;il;#;; -r\--. oF FLooRs: * or Y{*
-
. ,.*------T ''' NifYPRoPERTY
uss'
[ ffi'* Ef63'*"' E Xilff4' n .o*^-"*.
r
^ .'
]' S\, y'
rsrAT urAs
rHE p,Evrous oaa*or*,
Nr, ,/' U ccux
OR
rN rHrs srRucruRrl
f] v". I no
TED ON THE
ON THE BUILD]NG}
IS F(DD
IS THERE
IS THERE
OR BEVERA6ES TO BE
A NATURAL GAS LTNE
CUR
REiITLY n:qs [ ruo
Ll ruo
Corr'lur{rry
svsrru ! pRrvATE rELL
CENTRAL
scprrc fl enmrr seerrc s\5TEf,l
ZONE:OFF]CER:
Appraval:_-- City:
Comnent:
(FOR ofFICE USE OralY
SETBACKS: F:
AwTSED
a/72/r2
:::,IEPERNTT
unrrnr
f] creua
SE!iER:
!
i:,i:: s:pApiiE pE:iETs .EQUS:.ED FOF Et-Sa-a,
ii;ci.t: pr-e6, Gts
r?ur,, ,:.:FA.S g rJsr*.t.s ++*
pl
iors,- d (G(
APPLTCATId{
Urmber
(offic€ Ltse)
DATE:_ FLOoD:
RE.EIyED rur 18 ?ofr 15-
/U88
,4-j'\, NEt^l HANoVER couNTy BUTLDTNG pERMrr
ApplrcArroNri, d"r- .
\ APPLIaATIoN IyPE: DEIIIOLITIONl:i mrh tlWj *'^"4'":!::?-i:j,rx'Ji[fi',C;- ?o\s,##ns
APPLICANT,S N,IIqE: ,Jordy Rawl DATE1 5/La/20r5
OEVELoPER:
oleaoder Land partners, l,Lc PHoNE S: 910-332-8528
PRoIECT ADDRESS: 111 Formo6a lrane CfTY: wilminqron ZIP:j!,gg:_
SUBDIVISION: Foimosa park BLOCK *: _ LoT *: 5 & 6
PROPERTY OWNER'S
OI/NER'S ADDRESS:
NAIIE: oleander Land Part.ners, LLC
CITY: wilminqtson
#: 910-332-8528
ST: NC
ZIP: 28403
ST:
lq- ZIP: 28403
*: 919:-l-1?:"9":?g-
#:
PHONE
CONTRACTOR: sLeveos Buildinq companyLICENSE *: 3162G
ADDRESS: 5?ro oleander Bl.vd
CITY: wi.lminqEon
EI'iAIL ADDRESS: j PENE
PROIECT C0I{IACT PEiSON: .rordv nawl PHONE
DESCRIPTIOI{ OF
Lane.
lrJoRK: nemove (2) tr{o sinqle wide
trailels off of lots 5 & 6, located
al I11 Formosa
(lrhat Iype of Butldlng Do You irant Io Denollsht)
and ordlmnces and lsgulalioos. Th6 NHC D€volopment SeNlc€s Center wlll be nolifi€d of any changas in lhe approved plans and spocillcations or changp in contraclor or
coniracror lnfonmdon. "'NOTE: Any Work Psdormed W/O fte Appropriate Pemits wlll be in Vloldlon ol he NC Slsle Bld0 Code and Subjecl b Flnes up Io $5m.m"'
0t4lNER/CoNTRACT0R:SIGNATURE :
rs rHE pRolEcr:
fi nesrorrurul
/
ff coMiqrncmr
TOTAL PROJECT COST(i€ssLoq: $ z,ooo.oo EXISTING LANDDrsruRBrNG nrnrlrrt
I v:s [] uo
DoEs rHrs srRUcruRE oR BUTLDTNG coNTArN AsBEsrosl
I ves [} ro
rs rHERE A NATURAL GAs LrNE coNilEcrED To rHrs BUTLDTNGI
I ves B r'ro
rs rHERE ELEcTRTCAL powER oN THrs BUTLDTNG?
B vrs [ ruo
wATER: p creua
! coMMUNrry svsrrM
I pRrvArE WELL
srwrn: @ crrua
! CENTRAL
sEprrc
I rnware
serrrc
fl coMMUNrry sysrEm
No!o: The NationalErnission standards for Hazardous Air Pollutanls (NESHAP) Regulalions Require that you contact lhem at (919)707-5950 at t€ast 10
days prior to the demolilion of any facility or buibing, whether the
lacllity or bullding was lound to conlain Asbestos or not. Oemolition notilications &
asbostos romovalpermit applicallons are to be submlned uslng the applicallon form (DHHS-3768). This form can be found on the web site shown b6low.
Note: Oblaanino a demolltion permit kom the NHC lnspectlons Dopt. does NOT satlsfy or meet tho notitication requirements of lhe HHCU (Health
Hazards
Co. rol Unit). 'Keep in mind that an asbestos survey is requirod by a NC accrodited asbeslos inspeclor prlor to any renovation or demotition ol
a facility. Ploase se6 th€ Asbestos Web Site
@
payrlE
r flEnoDr ficrsn [l cxrcr (pAyABrE
m NHc) f]mrnrcm rxeness
I ncTvrsa
I orscoven
*,t,t xr )*
*'*,1* r*rt +,t rt* )t
* + * * * *,t * * )t:i,t
'*
* x* * * * * * )*)** )** * +*,t*,* * *,t )t )t
** * * * * )t )t* )* )i )** * )t
* * *,t *:i,i* )* rt* rtrt +,t* * * * *
(F08 oIFICE UsE ot{LY)
SETBAC(s: F: LH: RH: B:
Approval :
_ City:
*,t* )a )*** rt
* *,****,*,r,*)** *r,***i(,***,r
TOTAL ACRES DISTURBED: .01
ZONE :OFFICER:
FLOoD:
_
N
BFE+2ft=
Comment:
DATE:
PERMIT FEE: $
lqtq nq'n' t5-\?tj
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATION
Number
(Office Use)
APPLICATI0N rYPE: COMIIERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
c)
PHONE #:
,CITY: \ l./\\ L.u sr13"zrt: &?{ U I I
LICENSE #:accouNT #:
CITY: rlA\-L'-'-sr y1c zrp: E 'CV. I I
Exrsr corsrRucrrou:E frrrmrro,u
n ,rJifrillll 'iiTrlill*^r- nrprrns
I-l RELocArroN C*ru+rt f
If
Relocation, is there a lt6i ttas Line on the -Currenl Sire?
[vei-! ru" ts arDG spiiixreneoz
! ves
[ ruo
NE[,J coNsrRucrroru:
! enrcr NEl.l
srRUcruRE
f] rlsr rnacr
I srrr-r-
! uerrr
I aoo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT
- The SheII
Is Elect Power on this Building E yes E *O
NC REG #:
NC REG *:
**r** rs rHrs A cHAt{GE oF oc^cufAr'rcy
user
flves IHo "***IF Yes, what was
the Previous occupancy rype? O t fr Lf Hhat is th; Nery
Occupancy
rypel O{-6\_O
ls food or beverages propsrod or seryed in this slructurs? EYes
[ ruo b The Prope]ty Located ln The Floodplain?
fiyes
I No
OWNEFVCONTMCTOR:
(o!alifi€d
contEin Asbestos or not. You are raquked to
calllhe Naiionsl Emlsslon Slendards ior Hezardous Ajr Pottutads (NESHAP) at (919)707,5950 al tes$ 10 days lrior to rhe
denDliiion of any facility or bujlding. See Arbestos Web Site: http:/ dww.epi.slat6. nc,us/epi/asbestos/ahmp.html
APPLICANT'5
DEVELOPER:
PROJECT ADDRESS:
OCCUPANT/BUSINESS
PROPERTY OI,INER, S
OI'INER'S ADDRESS:
CONTRACTOR:
ADDRESS:
EMAIL ADDRESS;
PROJECT CONTACT
NAIiIE:
NAI',IE:
DATE:
PHONE S;
PHONE
T:
PHONE
#:
Permit#:
ARCH DESIGN PROFESSToNALI
ENGR DESIGII PROFESSIONAL:
DESCRIPTION OF WORK:
PH:
PH:
DISCLAIMER: I hereby certify lhal all inlormation in lhis-application is
co(ecl and all work will comdy with the State Buitding Code and aI other apptcabte State
and locallaws and ordinances and reoulalions. The NHC Developmenl Services Cenler wllbe notified o, any chanqes in th6 aoDroved olans and a;ecifcationsor chanoe in conkaclor or mntracior i-nformarion.
"'NoTE: Any Work Performeo w7o rtre
Appropriiri cermrts wiribtin ViiratiSfidr1}; |.jd
5;i; dEiiC#;:;iJSubjecllo Fines Up To $500.00"'
SIGNATURE:
# OF STRUCTURES:
f OF UNITS:
#OFSTORIES: (
# OF FLOORS: I
NEW IMPERVIOUS AREA:
Exsr LAND
otsruRsrruc penr,,trrz l-1ves
I uo
SQ FT EXISTING IMPERVIOUS AREA:SQ FT
pRopERry usE: EoFFtcE lnesrauneNr lMeRcmrrru
leouc
lmr.So** orr.a,
wATERt E(gFpUA ECOMMUNTTY SYSTEM
fIWELL fIZON|NG USE CLASS|F|CAIoN:
SEWER: P!'CFPUA f] CENTML SEPTIC
E PRIVATE SEPTIC I]COMMUNIry SYSTEM
*. SEPARATE PER]V]ITS REOUIRED FOR ELECT, [4ECH, PLBG. GAS EOUIP. PREFABS A INSERTS -'
PAYMENT METHOD:
[CnSn [CxeCx leavnaLE To
NHc) frarurccouNr E*rwrsa I oscoven
(FOR OFFICE USE ONLY)
Approval:_ City:_ DATE:_ FLOOD:
SETBACKS:
F:-LH:RH:_ B:
BFE+2ft=
OFFICER:
TOTAL PROJECT
COST:
\rt r]3O BUILD|NG HETGHT:
TOTAL AREA SQ FT : St-itf SQ FT PER FLR:
_
TOTAL SQ FT UNDER ROOF:
ACRES DISTURBED:
ZONE:
Comment PERMIT FEE: $
REVISED DATE iIl11/12
NEr'^r HAN:ypL.:r'yJ -?y##I: pERMrr
tat;ta1a
APPLICATIOIII
Number
(Offlce Use)
PLEASE ANSWER
ALL QUEST]ONS APPLICABLE TO YOUR PROJECT
"Project Responsibilit)P
Wilminqton
W, s'rc91
D^rE. _s123129]2_
ZIP i 2s4t2
APPLICANT,S MITIE:
DEVELOPER:
Brent Tenuta
PTONE#:
PROIECT ADDRESS: 3910 west Bishop courr CITY:
SUBDMSIOa{: carriaqe Hi11s S €C 2
PROPERTY
OhI{ER'S Mr{E: Jack and casey spain
ohll{ER'S AoORESS: 1910 west Bishop Court
CITY: wi l-minqton
BLOCK $:Lor ", bT-
PK)NEorq,q-i;;;{
CO{TRACTOR: Brent Tenuta Construction co
ADORESS:
6104 o1d Branch Road
E|.AIL AIDRESS: Bre75osB98@aol..corn
LICENSE *: 22se5
CITY: llilmi.ncton
sT :
J!_ zIP ::!313_
sT: g zIP:
2!l!g
s: 910-231-8796
*:910-23r.-879GPROIECT COi{TACT PERSOI{: Brent Tenuta
PHOI'IE
PHO E
YOUR PRO]ECT:
sr
fl concH
-
sF
5F
l-l sronecr sneo
SF
oTHER: 285 sq ft
FT UI{DER ROOF: 2BG TOTAL AREA SQ FT: 286
* OF STORIES:
SF
SF
TOTAL ACRES DISTURBED:
EXIST LAI{D DISTURBII{G
0.0065555
PERMIT:
N
REVISED DATE O4l1U12
BFE+2ft=
N
EXTSTING
co sTRUcTroN:
I elrenlrroH
I neNovnrroru
f] ceHenal neemns
I RELocATToN
NEt{ cor{sTRucTror{r
f] enecr Etll REsrDEr{cE o"
I aoorrrot To ExrsTrr{G RESIDENCE
**PI-EASE CHECK AiID AT{SI,JER
! nrr crnece
BELOI{ ALL THAT APPLY TO
sF f| oer cnnacr
! surunooN
_ sF
! eoor-
! orcr
! cneeruuouse SF
TOTAL HEATED SQ FT:
286 TOTAL SQ
TOTAL PROJECT COST rr-ess roo : $ :aooo
Is Any ELECTRfCAL, PLt ttBIl{G or IIECHATUCAL Work Being Done to the Accessory
Structure? [ Ves [ ruo
If the project is a Relocation, is there a Natural Gas Line on the Current Site? [Ves fl to
Is there Electrical Power on this Building?[V"r l-l ruo
PROPERW rrSE
/ OCCUPANCY,
I SrruCle r*rrrV ! ouelex
! TofJNHousE
DESCRIPTIOI{ OF }{()RK: constrlq! 4e!{ 3x 22 family room addition on lear of existinq hou6e
coniracbr inbrmalion. ThNOTE:Any Work Perfomed W/O llle AppropriaE Perm[s wjtlbe in Viotalion ofthe NC StaE
OiI|NER/CONTRACTOR 3 grent renura SIG ATURE:
(prtnt ane)+*r*!i+:i+!t,*,i,*,i,t*)*,.*,**,|+++*++,i+*+,1)t:i)**t,**:1,*,*,|*++*,i*,*,i,i****:*,*,3:*,r**:i:l*++t,i)*,i*)*,*:*:r:t++*++I,i*,1,t:i
DISCIAIMEFU lhereby cenify hat all anbrmation in his applicatbn is
conect and allwork wiltcomplywifi tle Siaie Buitding Code ano a[ oher appticable Stab and tocd taws
and ordinances and regulations. The NHC Development Services C€nErwillb€ notfied olanychanges in
he approv€d phns and sp€cilicalions orchanoe in
contacbror
rs rHE pRopERTy LocATED
rN l rlmorlatr? [ ves E no
EXISTI]€ IiIPERVIOUS AREA:
3602 SQ FT
NEt{ Ii{PERVIoU5 AREA:
35e2 5Q FT
r.rATER:
I creul
! corr ruNrry
svsrrm
! pRrvArE r.lELL
! cetrnlr urll
LH:
sEr{ER:
El creul
I CENTRAL sEprrc
l-l enrvarr
srerrc
f] cofiMuNrw sysrEM
ZONE:OF FICE R:
*** SEPARATE PERI'1ITS REQUIRED FOR ELECT, I.{ECH, PLB6, GAs EQUIP, PREFABS
& INSERTS i**
pAy Enr nErloo:
! csr I cxrc( (pAyaBLE
ro
rxcy
I arrucAl ExpREss
E "cryrsl I orscovrr
:*)**
*:*** )i +:t )* )r*:*+:i*a*,|)t* * * *,*:. *,*,* * +,| +,|*+ )t*** *,t ,*:* * j*,* j*:i,l + ++.t,t,t**,t**,i***,**,*,**+*,|*,t,t,*,*)t*,**,i++ **
(FOR OFFICE USE ONLY)
SETBACKS: F:
RH: B:
Approval:
YEs
l-i-l rc
Coflme nt :
city:DATE :
FLOOD:
PERI,IIT FEE: $
b Fines Up To
Wz-?orr -btYL
HANovER
couNry BUTLDTNG pERMrr t\ " / fu
bf
APPLICATION
TYPE; RESIDENTIAL
NEW
MItlE: Jef f rey Moore Smi-t.h
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Project Responsibility"
APPLICATION
Number
(Office Use)
DATE:
DEVELOPER:PIIONE *2 eto-262-3336
PROIECT ADDRESS: 7606
spralmi-st court
SUBDIVISION: wind Spray
PROPERTY (MNER'5 NAIvlE:
Jef frey Moore Smith
CITY: wilmi
LOT #:
#:
ST: nc
ZIPiru
ST:gZTP:.284t2
ZIPi 2s409
BLOCK #:
PHONE
0WNER'S ADDRESS: 729 windsare
drive
CONTRACTOR: Jeffrey Moore Smith
ADDRESS:
729 windcare drj-ve
EMIL ADDRESS: ieff3smirh@yahoo.com
CITY: wilminqton
LICENSE #i 6476G
CITY: wilminqton
PROIECT CONTACT PERSON: Jeffrey Moore
smith
PHONE #:
PHONE #:
9L0
-262-3336
910
-262-3336
SF
-SF
SF
:DmC)m
mE
C
=.
GO
t\tiE
aJl
-/
(FoR 0FFTCE USE q{LY)
SETBACKS: F:
REVISED OATE 04/LL/12
LH: RH: B:
BFE+2ft=
ExrsrrNc coNsrRucrroru:
f] ALTERATToN
! nrruovarroru
[ crnennr- REPATRS
! nelocarroru
NEhl
coNsrRUCTroN:
E] rnecr NEhr RESTDENCE
or
I aoorrroN To ExrsrrNc RESTDENCE
**PLEASE CHECK AND ANSWER BELOW
f] arr GARAGE
_ sF
! suunooN
_sF
I cnrrnnousE
_ sF
ALL THAT APPLY TO
! orr GARAGE
I eoor-
! oecr
YOUR PRO]ECT:
sF
E PoRCH 358 sF
! sronncr sHro
SF OTHER:
TOTAL HEATED
SQ FT:16e3 TOTAL SQ FT UNDER ROOF:
,/L'k, I TOTAL AREA
SQ nr@k1
TOTAL PROJECT
COST(r"..rot)
! $ 16eooo
# 0F STORIES:
r.s
Is Any ELECTRICAL, PLU|IBING
or ITIECHANICAL
trlork Being Done to the Accessory Stnucture?
fi Ves E f{o
If the project
is a ReLocation,
is thene a Natural Gas Line on the Current
Site?
[ Ves EI No
Is there Electnical Powen
on this Building?
l-'l y"r E ruo
PROPERTY
USE
/ OCCUPANCY:
Z] SrnCLr FAMTLY
! OUelrX
! TOWTHOUSE
DESCRIPTION
OF I,IORK:
EIU6. PTLINC PTnd/ rA/cL. LJTLL c,T7 .sFr1L€O
and ordinances and regulations. The NHC Development Services Center will be notifled of any changes in
the approved plans and specifications or change in
contractor or
contractor information.
".NOTE: Any Work Performed W/O trhe Appropriate Permits will be in Violation of the NC State Bldg Code and Subjecl to Fines Up Io $5OO.OO"-
OWNER/CONTRACTOR:
,reffrey M. smj-rh
/ Same SIGNATURE:
I5 THE PROPERTY LOCATED
IN A FLOODPLAIN?
ITI VES fI 'O
EXISTING IMPERVIOUS
AREA: SQ FTTOTAL ACRES DISTURBED:
NEI.I ITIPERVIOUS AREA:
sQ FTEXrSr LAND DTSTURBTNG pERMrr: Fl veS
ITI ruO
h,rArE R,
! c r eun
@rTW* r* tr PRIVATE hJELL
tr CENTRAL WELL
sEhJER:
! creua
a .rrr*, sEprrc [Tnrvarr sEprrc ffi col,rNffi;:;trr- k/r*-
*** SEPARATE PERHTTS REQUTRED FOR ELECT, mECH, PLBG, GAS EQUrp, PREFABS
& TNSERTS ***
'^yf}].1:111'i..-H.'l:l.S.Ti.'l.l:l'fl:.r-H'.,..F.fl=*l'll.:lii'.'.'...H.1yJ1:1...H:.'::?"*
ZONE:OFFICER:
Approval:_ City:
Comment:
DATE:F LOOD:
Jr*rrr
rrr,
rJ&,O
/5- t'\38
{) .a
-_(ct{-utwNEI^I
HANOVER COUNTY
BUILDING PERMIT
AppLrcATroN
rypE: SIGNS
/ BILLBOARDS APPLurcArroN
PLEAsE PRrNT cLEARLv
& ANSwER
ALL
QUEsrloNs (offt* u*)\<i:E
/ "Project Responsibility,,
ApplrcANrs ruamr:
&rnft?eJ\nn-{ orre :DEVELOPER: PHSNE
#:
PRO]ECT ADDRESS:
ADDRESS:
EMAIL ADDRESS:
PRO]ECT CONTACT PERSON:
DESCRIPTION OF
CITY:
occUpANT/BUsrNEss rrrnmr: d?**f-er
PRoPERTY O[^JNER'S
NAME:- CnS \\ Qn\!er':r lr.l
ohINER's ADDRESS:
-33OO- gnfjdrt rr"e* Tr&v
CONTRACTOR.
B*IC$u6'irres
S.l,;
LICENSE #:
CITY: tLlp{3
lW.qUt
2q. l(,
?b.a3
&,n* t&nne*&{-863-e&sq
fl enrcr
(CHECK
ALL THAT APPLY)
rER
fl nrearn
f] errrL-ancr
f] cunucr our
v,/
rs srcN(s) oN oR oFF pREmrsEs? EIor,
Iorrrs srcN(s) oN oR oFF pREmrsEs? EIor,
fiorr Pqbyl StAfV
"-r.1_
DIsCLAIMER: I hereby certify lhat all informalion in this application is correct and all work witlcomply with lhe
stale Buitding code and ", ",r"r rf,:rl"',tt *r*D
contractor inrormalion ."NOTE: Anv
wotflm) wo tre anoropriafermirs wir b" py.,:*",X rT r.ri strru eiag
c"ogr,aSDy*t ro
rines u"p ro gsoo oo;..
or^rNER/coNrRACroR: , 4.V, ^r*rrOr#'*'"^ ';';Li,Lffi# ,,
. ,{'{.,I,,(-, , .
TYPE
0F SrCN(S)
SIGN
1 Height:
SIGN 2 Height:
srGN
3 Height:
SIGN
4 Height:
\'t-,b$
-lit{r
(FoR OFFTCE USE ONrY)
SETBACKS: F:
REVISED DATE
3/30/12
B:-
BF
E+2ft=
N
PERMII
FEE: $
p(*rrrro*DrNG (Gnound) f] unnQurrfl suruclr [|'wnLr_
Total Number
of Signs on
rtl
this
(.'tll sign Dimensions;
I &.tll x eq.33
L sign
2^ sign
Sien
Dimensions: L x
Dimensions:
?- X
Dimensions: X
PRO] ECTION
CANOPY
Project:
PHONE
#:
PHONE
#:
! noor
I onlen
Total SQ.FT.
of Sign:
Total SQ.FT.
of Sign:
Total SQ.FT.
of Sign:
Total SQ.FT.
of Sign:
*:sr'*B-E*@1
TOTAL PR0JECT
Cost: g 14,Cv:v:.d* rs
rxr pRopERTy LocATED
IN A FLooDpLAIN?
[ ves tr]-NS,
*** SEPAIIATE peRllIT$ nIQUISED
IOn SLfrCT] I'l[Cti, pLB{, S&5 [QU:p, pftEfAS$ & ItitSrfiTS *+*
pAYMENT
METHoD:
f] clsn f] cxecr (pAyABLE
ro
NHc) fl ar"rrnrcnn
ExpREss
U Nclvrsn I orscovrn
*****'N**********x******************{.*'t**,t(:lr**1.****x****rk***r(,kr<*r<+***+*(***************{<***
ZONE:
_ OFFICER:
Approval:-. City:
Comment:
DATE :_ F
L00D :
LH: RH;
--ryr,-- TatrttW
[<<- )5-lbbL
APPLICATTON
Number
(o#rc. U3.)
,l / /'DArE: 6
//b//)
Piorr *t 4zr'9ozs-
n/e-Zre:.'Z(42-
Lor *: 61
PHoNE
*: 3fo'?z4a/
srz ^t-ztp: 2{4/z-
coNTMcToR:
EJ,o /,1e,*S {or,to,/on< S 1€:?r-LrcENsE * 7i I
12/
ADDRESS: s 33
tl Kr+;g 4z+-a1 crrY | /.,y5 i.,lt
Et'rAIL AI)oRESS; Slzp V77 4, g<.u:rat':rt./'/cf
PRorEcr coirrAcT PERsoN:
5/.,,,a Z4:/bR-
Clear Form I
NEtd HANOVER COUNTY BUILDING PERMIT
APPLICATTON TYPE: RESIDENTIAL
PLEASE AIISIIER ALL QUESTIOI,IS APPLICABLE TO YOiJR PRO]TCT
"Project Responsibility"
a/e /nt -
Print
clwi tu,
/,a
BLOCK *r
,JC i"tc.
t.u,' /
.'- '
PROPERW OIINER'S ttlAlitE : €d-o ll.4yt"S /t alut r //oto, Z I
or,lNER' s ADDRESSl.
413 sL*:ur.e raa./ LP- CITY:
GREENHOUSE SF
EXISTING CONSTRUCTION: ALTERATION RENOVATION GENERAL REPAIRS RELOCATION/./
NEW CONSTRUCTION: / ERECT NEt', RESIDENCE or ADDITION To EXISTING RESIDEf{CE
I'PLEASE CHECK AND ANSWER BELOI' ALL THAT APPLY
'O '** '*OJECI. 4A/an aaeeae
{") sF DET GARAGE sr y'poecn / sF
Auneoon
)a> sF PooL sF sroRAGE sHED
SF OTHER:
*ooet
33/? rorAL AREA
oF STORIES:
a
to the Accessory Structure? r Yes t(
Gas Line on
the Cunrent Site?|r/ves l-'/4
Accour,rr *: il i u/
s'l t't{ L:JP | 7?a./
PHONE $: 47 / -9a
zi
PHoNE *: '/71 -*oz>
SF
SF
sarr:
JJ/t
rxx* **xx::i<:ix r. r.
SEWER. ,,/CFPUA
CENTRAL WELL
COMI4UNITY SYSTETl
(FOR OFFICE U5E Gr!V)
SETBAC(S:
F: LH: RH: B:
PERI{IT: - YES ...'-6
ntvIsED oarE @/11/12
BFE+2ft=
. FLOOD:
u
PERfitIT FEE: $
1$ nrrrrcnurs *nr, ht/a.fit*l^s {.rrtn'/oz.ts
rN' DEVELOPER I\l- pRorEcr ADDREsS.
/{oL 'fegr:,^tg/trJ Ae-
suBDIvIsIoNr e.L. la&ru,
rorAl HEATED sQ Fr: 30/? TOTAL sq Fr UNDER
TOTAL PROIECT cosT(L*sLou , $ //|tp '-
Is Any ELECTRICAL, PLUITIBMG
or |4ECHA,{ICAL uork Being Done
If the project is a Relocation, i.s thene a Natural
Is there Electrical Power
on this Building? - Yes
'TNGLE
FAMTLY DuPLEx ,(**rou*PRoPERTY USE
/ occUPANcY r
DESCRIPTION OF WORK:
faecf ,J.^., € \tV/"a 1o*tA
OISCLAIMER I
hereby ceddy hal aI inblmalion m his appltcolion as conect and dl work willcomply wrtl lle State Burldinq Code
and ordinanc€s and legulalons The NHC Developmenl SeMces Cenler mllbe nodfcd ol any charg8 in
fie appro!€d
dms and
contaco, nformaDon. "'NOTE Any wotk pe.lom,ed W/O |le Apprcprst] Pemits eill bc In Vblalion oI lhe NC Stale
warEn: /f-,FPUA COMMUNITY SYSTEI'I PRIVATE I{ELL
CENTRAL SEPTIC PRIVATE SEPTIC
, :t::.- 1 i ,: :,, : ": :ii.:: : :: ..t::^ tr:::.. 11..;:
:,.- :'.:ti ;i.:-r.-- I 1:;t::---
PAYIENT fIETHOD: ] CASH C[EC( (PAYAELE TO NHC) BILL ACCOrrr{T ] I{C/VISA DISCOVEn
*****:*:*:.****:*;txii** *** *I*******x* **xxr*rr.*xxr x***x*r.x**r( *).*xxr.*x*** *r(*r..xr.*::* * *ir(*rr(r. * r*
ZONE: OF FICER:
Approval: City:
comnent:
owNER/coNrRAcroR:
g/"q // /k srcNAruRE:l
rir* r.
**x*:rr.***:r ***' **** *** *(i!'i:,l'ii'l.-.--.-.--*** **** *,.* *
****Hrrr*1.**x*:rr.***:r***r**x*x**x**r **x **** *xax
*xx*ax t**r*
rs rHE pRopERTy LocATED rN A FLooDILATN? yEs , z/"o
EXTSTIiE IMPERVIOUS AREA. I./' SQ FT TOTAL ACRES DISTURBED:
NEW IMPERVIOUS AREA3
17TT/ Sq W EXIST LAND DTSTURBING
DATE:
J,.-'llipt.
,iJ.\,;f;r*'lr!{.4"*' :-
11ft amlrcaNr,s NAI,IE. tJra /.4xt-s {;,u.') '' //zzo43 de /rrlc -
r\)l DEVELoPER r
,f ;;;;;;;';;'ur'r. y'{o2 'fert,tsl,,J A/. Crry: /u.
/,n
SUBDIVISI0N: E 4L" /"i,Q''tt-$ BL0CK *:
pftoptnTy ohsxrft,s r,rA!lE:
fulut li"e*.s {dx,u, i*r*<1 /t" /rrc,
ct:llFoTr!.Frint ,.,,
,,,.-.!xn;til .;
NEId HA}.IOVER COUNTY BUILDIfi}S PEQI4TT
APPLTCATTBN TTPEI RESTDTHTIAL
PLETTSE ,'tllsiifR ALL qriiESTial,t APPLIcA$LE TO
YGJt Fn0lECT
"Project fresponstbility"
PRSPEP"TY USE
/ 0CCUPANCYT SII*6LE FAI{ILY
DESCRIPTI0nI OF WORK:
Zeec{ ,n}*,^-,
OlSCLAlfl{f e: t
l4nrbt (ei}ry lhat
all iatrmalion
fl fii3 apFtco}an b co*prl and {0 ?ork
*i8
corply m*r be Sf6la
&xldirq Code
ad grd!:flnflrs ond requlalbns. The NllC Oe'eloomert Seffies.Cenkn, uif !e nollEd ol ary drani$ s fie dpp,oved
t*rls and
{or? alE ' *b,inslsn. "'NOTE Any lrrO't ftgtrormad Vl/O ** A!ptop!{!*} trermils r.rill
bo n ViOtai,on al the IJC $Leh
owNER/coNrRACT0R:
.,-/u,e ,// /k srcNAruRE:
4' ;-.-.. . !
y
*r* ***r*r**r r* ***I----------------***
*
*r r
*(Iitj:jgt?** riFrrr rri ***
r*i* ir** ****ffa
rs rHE pRopgRry LocATED
r{ A FtooDpLA*{? yEs :'74o
EXISTING IHPERVI0uS
AREA! O sQ FT
f,tEr.t
$rPERwoUS
AREA: t?r{ sQ FT
ICITAL ACRES DISTURBEC:
EXIST LAND DISTURBINc PFRj
TT: : ., YES -;-d{
^/!\,ATER: r'CTPUE COf{I,lUNiW
SYSTEI1 PRIVATE
I.IELI CENTRAL I{ELL
SEWER:
}/T?UA CINTRAL
SEPTIC PRIVATE
SEPIIC CC*,1I.{TJNITY SYSTE'.I
l/
'. ii;t,'- -..i r::; .-l! .'.itl",::i';:l ;:-.- ::.a-: :i:-.-.... ,t.-::. _:,.: ,:i.ii..,-_ ,ri:f:..:., ., -a,:i1.1-._:.:
payrrEilr ,rErHoD: j- casx ..
] qrecx (pAytErE
ro r,lrrc)
] srr-r-
AccfiiNr i ,rclvrsA '
orscoven***tt*t***r**ttl***t**'**trNtt******* ******t**ll*x*t**t******: **xt*xik*t *2rt**i &a*r*vt* x*
?or{E, {Ut-{*-
orrrcen:
{x6
Approval: City: futL*^ DATE:
comnent:.
Ts,7k,li; )r,i ''\'€t
(FOr CFrICI Us€
ArrY'
, SETBACKS:
F;
Y LH: {grifa/s. FLooD:
1.qv&0)C,qa)
Sqf 7U
RH. Qd B: 4I
V BFE+2ft=
trr\
PERlltrT
FEF: g
'/olv*utr?
{ *fh rriia. srx r *x tf !** t!t8y: .W
. o
{ --*-----*\
,ttvrszD ,!lrE a/71/17
OkilEF'S ADDRESS:
4-33 *lt,.tc*5i<&z*-' l!ts- CfTY: ot,.'/ rt*.. .. .. ST; ,tt-Ztpt J{'4tZ-
cgtrirpACTgRr
44, /;te,.*s 6,*l/ar, d-s,*c*tt+tcnr;r
*r
73tqzt AccouNT *t -/4i{v/
ADDRESS:
" q$g.$.,.
**,ii lnrce.o,7 crrY:
il*'ao, s-{:f{ zr1: V?ad{
EHArL ADERESs:
il*i, +y'2 c* Sutf<vrft . /&f PHottE
*: 4z 1 la z{
PRO]ECT €ONTACT PfRSOiI: fl*'TE *?:IbR- PHC}IE fi: Z/71-*AC>
EXISTIIIG CONSTRUCTI0N:. ALTERATION RTNOVATION
-
GENERAL REPATRS RELOCATIoN
NEil CONSTRUCTION: AU" NESI RESIDETICE OT ADUITIOiI TO
EXISTIHc RESIDENCE
STPLEASE CtlECl( A!\iD {NSt'JEn EELO&/ ALL THrlT APPLY TO YqrR PIOfECT aO
/*T GARAGE
{o) sF - oer oARAGE - sF t//paRcH /- - sF
r-{UIIROgfi
Id> SF POOL SF STOTA€E
SHES SF
GREENHOUSE 5F DECK SF 0THE8: SF
rGrAL r{EArsD sq Fr: S0/? TorAL sQ FT TTNDEB noar
33/?. rorAL AREA sQ Fr: J3/9
T0TAL PROIECT CoST[-er:Lo; z 5 /d5'm' S OF STORf ES:
Q ,-
Ie Any ELECT|IICAL, pUrmB*U O"
'TSCXANICAL
l.lork eeing Done to the Acr€ssory Structurc? . Yes /tlo
If the project
is a Relocation, is there a Natural Gas
Line on
the Current 511E7 i/Ves i No
fs there Electrical Powei on this Building? --" Yes
1no
DUPLEX Ao**ou*ff N1le,x 1""wA
L <L t5'lllb'L
APPLlCATTOST
Nuraber
{Officr Ure)
. DArr: i' e/ld/i
Pn,:rur *, y'it -9t'a5'-
y4* Z\P:'Z(ciz--
LoT *: 61
PH0N€ tr: 3f'o - A'7'/'4
,rcorril:i5t cr --*t"
o$50f80"' i J
tv?s--
i Cl€a!'Fornr,, .sfr|tit
.
Tolr-b(tr?
,,
?tz-' !f- lttto3
APPLICATION
Number
(Office Usc)
$N
ApplrcAilT,s NA,,,E ! &Jro l,*"1,^s {*"x, //uyu& S
0EVELOPEi r
pRorECr ADDRESS:
,1404 -frgl.,rtg*J tr€.
SUBDIVISTON: Eclro loe,Q"laS
$IEW
zoNe:
fr{-L oFFrcER:
*"5
Approval: City: /C,rr. pOrr,
co$menr:.
Ikt'ArSr; ')-".,; -Tt;k .,
HAFIOI'ER COUNTY
BUILDINC PERMXT
APPLICATTAN N'PE.. RESIDENTIAL
PLE/\SE A:rSUrn ALL qUE5TIOI'|S APptICJlSl.E TO YGJR r'}i$IECT
"Froject Responsibl}itlt"
4/ e /*'9 -
cIrY: lu,l.a
BLOC( *:
DArE:.
{ 7//t ,|t'
Pll0NE #: 47t -9t't5
n/,, \7P 'V
#tlz-
LoT #:
b,Y
PlroilE $: j{o* a:?d{
s-rt /Lt.z]:Pt
2fq7z*
PRoPERTY ol{?rlER's r{Af.'lE:
et).o /1Art"5 f"ZrW /l>tre t /'Lt /rlc .
OtitdEn,S ADDBESS:
4i13 ,tL.|t*tJfl&'f(t\./ i'B " CITY: *v)/ n- '
PROPERTY USE
DESCRIPTION
cor,rrilACT0R:
dJ* 4W*t {q*rlq"<|ptl4lr.-LtlJEttlsE #:
731'ls/ Accou$tr o, -74rru/ADDRESS: q54 & K*,i! ,+e*"s{ c*y "1/**fi,}L . *:ft7aP:.'//**{
EfiAIL ADDRESS: $:i*rto frl * i!o,-2rt)r,fi. r,b{ PHC[ilE $:' 47 1 '?az{.--
pRolEcT corirTAcr pE&Sor*: Sfu,le
lf;/bd PHoNE s: z/7;'claz2
EXISTING CdISTRUCTfOI{:, ALTERATI0N RENWATI0N CENERAL REPAIRS RELOCATION
NEI{ CONSTRIJCTION: y' ENUCT NEW RTSTDENCE Or . ADDITTOTTI TO EXISTIIqG RESIDENCT
S'PLEASE CIIECX At{D ATISWE' SELgd ALL THAT APPLY TO YOtJS PRO]ECT: //*, uo*ue
9il sF . o:r GARAGE
. . -..
- sF 4r*c* 364 sr
SUNROOP1 SF POOL SF STORAGE SIIED 5F
GREENHOUSE 5F ,. DECK SF OTHER: SF
rorAl HEATSD sQ Fr:
2a/1 TorAL Sq FT UNDER WOr'
v4t7 rorAl AREA sQ rr: &9 tl
TorAL PRolEcT coST.L,t:Loo ; $ ttr$/*e*/ * oF sTsRr65,
)*
Is Any ELEC'TRICAL, pLUr{8iN6 or l.lEC}rtrNICA!- Uork Being,oone tO the Accessory
structure} YeS -6
If the project
is a Relccation, is there a Natural Gas Line on the Current Site? pdEs .' No
Is there Electrical Pouer on this Buildingl '-* Yes
l* ruo
I OCCUPANCY: Sr$6LE FA},ITLY DUPLEX /rOttrunOUSe
oF r.roR(: zge ,{
ol,rHER/coNrRACroRr
z!{+lgu': *::- srcr
d?<\ r (prjnt ,1160)xxr**:t*lr*tl*x**xr**iYxt*t*tx*ti*xf*tlxatl::r**:t*t*x *r* **t*lt * 3l*x t!xl ** frl i t* ! *** l*i t a:* tl *r tt: *r*"::*rn **x**** ***t**r*i.:***x xt!*r r x**+x *
15 THE P*OPTRTY LOCATED IN A FLOODPLAIN?
YE.S ' '/ iIO
EXISTI$I T,{FERIrIOUS
AREAI O Sq
FT TOTAT
ACftES
DTSTURBEO:
, O y','/
NIW
II'!P!RVIfl,JS
AREA: - SQ
FT EXISI LAI{D DISTTRBINC pERfiIT:
, yEs :-/yo
Olscl-qliie R I her&by cer'nly t1al oI intsnrulbn hrd s{ aorksU cs{rrplyuih hr S&le &x6icg Code *nd elt ot\*r arp}cable
Slr& &d bcol lsws
md rrdE&ncet !f!d rcSulalont The
l,lllC Oc
c().ttctfx nbrnsten "'NOTE Any $&rk hx
I{ATER:
.y'CTPUE
CO$',IUHTTY
SYSTEI1 PRIVATE
I.'ELL CENTRAL
I,'ELI./
sEWEf,: /crn:a CENTRAL
SgpTIC pRIVATE
SEpTIC CCfif,,gNITy SySTEM
PAYfiENT
i*lEriroo: .. *" : cHtcx (payABtE
ro !uHc) '- BrLL
acc€lJirr .- r.c,/vrsA , -
orscovrR!**t*f**********t****rrtt**x*xi*tlx**'******t&*t*:t*t**l*rxt*tt!t*t:***rt*rirr*r*t**ra**
(roR
orrtc{ u5€ cNty)
. STTEACKS:
r: * LH: -}T
lltf 'r FLooD:
A_ V4.i)ilxo.as5
*t:€'l:r*,-{
8tvl5[0 t.1rr ?a/711t2.
RH: .X",. B: -Y
V BFE+2ft_
,{
PFR$II FEE: g
ugcn ir
/Uz
J:t}r*,.
;',\J;,
iid {b.-rll'i-.<*'..
Clear Form Print
NEW HANOVER COUNTY BUILDING PERMIT
APPLICA|IoN TYPE: RESIDENTIAL
PLEA5E AN5I.IER ALL QUESTIOT.]S APPTICABLE TO YOI]R PRO]ECT
"Project Responsibility"
AppLrcANps **r, E /a l**s V"{.2,,.** /azes ztt L /*tz: -
,404
b-tJct
-i24,<,r7/t ',/l*R'ttS
Le_CITY:
/vL
to
Gas
the Accessory
Line on the
No
," T0tINHoUSE
Structure I
Current Site?
ves ..fr
' 't-16s l.' tto
PROPERW UsE
/ OCCUPANCY:
DESCRIPTION OF WOR(:
DISCLAIMER I helebycenrly t'6rs! mbrmalion
and
odnances and regulalons. ThE NHC
conteolnblmaion. !"NOTE AnyUbrk
oWNER/CoNTRACToR 3
S]NGLE FAMILY DIJPLEX
ZLcc-t
and an wolk r/l, l comply $dr tte Siale Bu.ldtnq Code snd all
oher appticabte Stats
6rd loc.t laws
wll be nodfed of any changes m he app@ved ptans and speciftcahns or chatqe in conrracbr or
SIGNATURE :
IS THE PROPERTY LOCATED IN
:: * x
x* * ***x xx
** *x* r**
EXISTING IMPERVIOUS AREA:
NEW IMPERVIOUS AREA:
UATER: /CFPUA
SENER:
ZFPUA
ZONE: oFFICER:
Approval: Ci.ty:
Comment:
COI.II4UNITYSYSTEM PRIVATEI.IELL
CENTRAL
SEPTIC PRIVATE SEPTIC
CENTRAL I^/ELL
COIIMUNITY SYSTEM
PAYIIENT
IqETHOD:
-
CaSH . - CHECK (PAYABLE To NHc) - aILL
AcCorJr{T MclVIsA DtscovER
x:k*:*Lx()* xt *i r(* :l
r * * *:a:k* )*
**tx*t*t:*** *t)ar**xx**s:* *:l* r*t1**r.**x***x x*)r*1.
*****x* r.r:: * rax**xL** **
(FOR OFFICE UsE 6]LY)
SETBAC(S:
F: LH:
RIVISED DiTE 04l11/12
8:
BFE+2ft=
RH:
AV[I
PERMIT
FEE: $
-,ire, - TClflolQ;'
?.2-, l{- lttb3
APPLICATION
Number
(oFfiE. usc)
z ,/r,, ,'. /DArE:.
; //61'/J
PHo{lTE *: 47 -9!25
/t/C- Zlpt Z(-lz-
Lor*t6g
PHoNE *: 35'o- A'744
. sr: l'l''ztP ' 2 {4/ 2"
Accouilr
*r 7Z I c4
. srtfl z]P 72aqy
PHONE *: 4Z t -?a
zS'
P}0NE *: '/71 'Qoz>
. DEVELOPER:
\N PRorEcr ADDRESS r
\P suBDrvrsroN I
PRoPERTY
O{NER'S MI.IE: €t lut:
Itart,S /t
"Or.n i/aueS
OI.'NER, S
Lc-CITY:
PRO]ECT CONTACT
Is Any ELECTRICAL, PLUl4BIil6
or HECHA ICAL tJork Being Done
ff the project is a Relocation,
is there a Natunal
Is there Electrical Pou,er
on this Building? Yes
EXISTING CoNSTRUCTION:. ALTERATIoN RENoVATION GENERAL REPAIRS RELOCATION,/
NEh' CONSTRUCTIOII; y' E*tCt NEI.I RESIDENCE Or ... ADDITION TO EXISTING RESIDENCE
..PLEASE CHECK AND A SHEA BELOd ALL THAT APPLY TO YOI,R
PROJECT: //on oo oo, 3r{ sF DEr cARAGE . rr .-4o r, 26'{ t
SUNROOM SF POOL SF STORAGE SHED SF
6REENHOUSE SF DECK SF OTHER: SF
rorAL HEATED sqrrr2&/f rorAl sQ Fr uNDER awr,
2417 rorAL AREA sefi. Ag/?
roTAL pRolEcr cosr 1r-"* r-or) : g /
/,tq?O "- # oF sroRrEs:
2-
5y'.',,e
rl;/|eK
DATE:F
LOOD :
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERI,iIT: YEs
SQ FT
,sQFt
ADDRESS: Q33
d t
EIiIAIL ADDRESS: S /zITo
{elu,l*",<5 tcltr-LtcEtsE g, 7j l'?l/
, /h z<-ay' cfiy: ,y'a5 7.17.
,zg.
$air,tnt.,,br'
cot[tr(Ac:ioR
fu-a
, r'No
42 'ulflt t?3
l.ttto 0ol@B t-a N Loc rD tqqrq
NEkil HANoI/ER couNTy BUTLDTNG pERMrr L4-2253
APPLICATIaN rYPEr COMMERCIAL
PLEASE AIISh'ER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Project Responsibility"
APPLICANT'S NAME: Environments Unlimited rnc.
/'( " j. l'tl',
Lffi,i
APPLICATION
Number
(Office Use)
DATE,___WJ&_
DEVELOPER: .R&S Matthews Propertsies, LLC
CITY: t,'lilminsron
PHONE #:9ro-323-e?oo
ZIP
i 2l4os
PH0NE
#: e1o-323-e?oo
ST: lrc ZfP:2B3os
PROIECT ADDRESS: 2530 Norrh Cotleqe Rd
OCCUPANT/BUSINESS NAI|IE:
taco BeI1
PROPERTY OhINER'5 NAME: R&s MalLhews Properties, LLC
OI^JNER'S ADDRESS:
609 Execurive place
CONTRACTOR: Environment.s
Unlimited Inc.
ADDRESS: 215 s. I(err Ave.
EMAIL ADDRESS
: icockrum@environmentsunllmitedinc. com
PROIECT C0NTACT PERSON: John cockrum
CITY: Payetteville
LICENSE #: 68071
CITY: ylilminqron
ACCOUNT S: 1-46ie
PHONE
PHONE
ST: Nc ZIP: jgjl3-
*: -2f&ZJ::g::5_
#: gk.23L!:l:_
(check A1l rhat Apply)
Exrsr coNsrRucrroN:
f] ALTERATToN
fl nrrcvarrg$ Dlgrurnm REpArRs
f] nrlocnrrou
tf
Relocation,isthereaNaturatGasLineontheCurrentsitez
fives [ruo ISBLDGSPRINKLERED?nves f]ruo
NEh, coNsrRUCTroN:
trl rnecr NEh,r
srRucrunr
flFAsr rRAc(
[ sHrr-r-
[ unrrr
f] ADo ro Exrsr srRucruRE
ACCESSORY STRUCTURE:
If UPFIT
- The 5he11 Permit #:
***r.* Is THIS A CHANGE
IF Yes, hrhat was the Previous Occupancy Type?
ARCH OESIGN PR0FESSIOIiIAL:
Mark Grenell
rs Elect Power on
this Building I ves
ff r'ro
oF occupAllcy
usrl
flvrs [1pq *****
tdrat is the New Occupancy Type?
PH:&Z1f:I61 _ Nc REG#:7438
ENGR DESIGN PROFESSIONAL:
sld BendahmanePHi
91A*791-2776 NC REG #i L2918
DESCRIPTION OF tdORKi New 2,1-00
sf Quick Service RestauranL
ls food or beverages prepared or served in thls struciure?
flv"r flr'ro b The Property Located ln The Floodplain?
ff ves E] r.ro
DISCLAIMER: I hereby cenify that all informarion in this application is correct and all work n ill comply with the State
and local laws and ordinances and reoul8tions. The NHC
Develooment Services Center will be notified of anv chano
or change in conrractor or contractror ihformation. '-'NOTE: Any Work Performed
w/O the Appropriate Permits will 5
Sublectlo Fines Up To
$500.00"'
OWNEH/CONTRACTOR: John cockrum -
conEracto. SIGNATURE:
(Ou6lilie4 (Priil Nam6l
Nole: Domollton notlficBtlons & asb€stos rsno\ral permlt appllcatlons are lo be submltt€d uslng lhe appllcatlon form
snta,n Asbeslos or not. You aro required lo call the
Nallonal EmlsElon StBndBrdB for Hazardous Alr PollutBnt6 (lrESl-tAP) Et
dorollllon of any
facihy or building. Sse Arbeslos WEb Stto: hltpr/iryuur.epl.Btate.nc.us/epi/ssbe3tos/rhmp.hhl
TOTAL PROJECT COST: 97s0, 000 BUILDING HEIGHT: 22
TOTAL AREA SQ FT :SQFTPERFLR:
z.roo
TOIAL SQ FT UNDER ROOF:
2,i.oo # OF STRUCTURES:
whether the facility or bullding was lolrd lo
al leafl 10
days prior to lhe
#
OF UNITS:
# OF STORIES:
r
#
OF FLOORS:
:. -
SO FT
ACRES DISTURBED: 0.96 AC
NEW IMPERVIOUS AREA:
24,4rs
EXST LAND DTSTURBTNG PERMTT?
ffi veS
fl XO
SQ FT EXISTING IMPERVIOU$ AREA: vacan! LoL
pRopERryusr: ffoFFEE ffiREsTAURANT
flurncnnrLE f]EDUc f]nnr flcoruoo orHER:
". SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG. GAS EOUIP, PREFABS & INSERTS
''
PAYI\4ENTMErHoD:
flcnsn flcHecxlmvaBlEroNHc) E]BluAccouNr ffucrusl ffioscoven
(FOR OFFICE USE ONLY)
wATER: mCFPUA fICOMMUNITYSYSTEM
fIWELL IIZON|NGUSEC|-ASSIF|CATION:
sEWER: mCFPUA IfCENTRALSEPTC
f]enVnreSEpTtc flcoMMUNtrysysTEM
ZONE:_OFFICER:SETBACKS:
F:_LH:_ RH:_ B:_Approval:_ City:_ DATE:_ FLOOD:
_ BFE+eft=
AVN
E-2
REVISED DATE {11I12
soecitications
Bldg Code and
Comment:
E\L.l-.
PERMIT FEE: $
'-r3u
,.OtS (!(1(
APPLICATIOI'I
l{umber
tffi-n*l
LOT
NEI^I HANOVER COUNTY
BUILDING PERMIT
APPLICATIoN
ryPE: FACILITY LICENSING
PLEASE PRINT CLEARLY
& ANSWER ALt QUESTIONS
"Project Responsibility,,
APPLICANT'S NAIi1E:
DEVELOPER:
PRO]ECT ADORESS:
SUBOIVISION:
PROPERTY OWNERj S NAI|IE
OWNER'S ADDRESS:
CONTRACTOR :
ADDRESS:
EMAIL ADDRESS:
PROJECT CONTACT PERSON:
o'or'!;,gru;ry1
E *: _ ACCOUNT
*:
ST:NC zIP:
A,1o I
PHONE
*: 4to .34<.fir1
PHor,rE
f:Q t0 .342'4727
I nour-r
cane
! oorr, .o*r-orrt'tTJrTt]il'J-,';1," a.rr,, CARE
.ENTER tr5G-
DESCRIPTION OF WORK:
DISCLAIMEF: lher€by cerlify rhal allinrormarion in this
and ordlnances and regulalions. The NHC
contractor informalion. "'NOTE: Any Work
ailwork willcomply wilh the State Buitding Code and attother appticable Staie and tocat taws
ndilied ol any changes in the approved plans and specitications q change incontractor o,
willbe rn Violation
ofihe NC State Bldg Code and Subjecl lo r-ines UpTo$5OO.OO..'
SIGNATURE:
)
)i
*:i * *:t * )* + * )i
* )i
* )*,*
** *
**:* * *)i*)t * i. )t )t* * * + )* + * ** ** * * )t,t
*,i,t* )t*:*
*
AGE RANGE OF PERSONS UNDER CARE:
*)t*)i*)t)*,*,*rt,**+**+*+****,|****)t**)t:l
TOTAL # OF PERSONS UNDER CARE:
(roR oFFrcE usE oNLY)
SETBACKS: F:_
F LOOD :
RtvtseD 4/72/72
LH: RH: B:
BFE+2ft=
IF NO, WHAT ARE THE HOURS PER DAY?
WHAT I5 THE TYPE/CLAsSIFICATION SPECIFIEDBY THE STATE LICENSING AGENCY WHICH YOU ARE APPLYING?
rs cARE ro BE pRovrDED oN A 24 HR rsrsl I v"s
! ruo
rs rHE pRopERw LocarED
rN a rlooonqrul-Pl yes El No
rs ELEcrRrcAr polJER oN rxr eurlorlcl [l'ves I Ho
rs a NATuRAL
GAs LrNE oH rxr pnoprRry)E v"t Rrf,TOTAL SQ FT:
** PLEAsE ATTACH
A COPY
OF THE APPLICATION
& FTOOR
PLAN YOU ARE SUBMITTING TO TIIE STATE
'I*
c'ya ZcoMMUNrry svsrtm ! pRrvArE WELL
frnun ! cENTRAL sEprrc I rnrvare
srnrrc f] coMMUNrry sysrEM
*** SEPARATE PERI'IITS REQUIRED FOR ELECT, I{ECH,
PIB6, GAs EQUIP, PREFABS
& INSERTS *it*
payr,rENr ETHoD:
E casH I cnecx (payaBLE
ro
N8c) [ erlt rccoum I r,rclvrsr I orscovrn
* *+* *++* )*)*r*****)N *,f ***,t*)* r*+
****,1)t***,lrt,t,t*,*++***)**++ t** *** * )t
* * * )* )*:i
*** * )*
* ** * * !t r*,t )t )t
*,* * )i + * *,f:t
zoNE : _0FFICER:
Approval:_ city:
Comment:
DATE :
,J*rr,
,.r,
l![7]--
DATE:
PHONE
S:
BLOCK
r6t
APPLICANT,S MI,1E I
DEVELOPER:
5
PROJE(T ADDRESS:
SUBDIVISION:
PROPERTY OKIT,ITR,S
Ot^INER'5 ADDRESS:
EMIL ADDRESS:
NEW HANOVER COUNTY BUILDING PERilTT
APPLTCATI0N rYPE: RESIDENTfAL
PLEASE ANSI.IER ALL QUISTIONS APPLICAgLE TO YOUR PRO]ECT
oProject Responsibility"
CITY:
sQ Fr:
2-232
?rz
\t- \66q
?ott6?og
APPLICATION
Number
(office Use)
D^rE: c'20-/f
$: tuE;m)t/
-*#784-zLor *: (b7..'7..
0,7/O 7or qooo
sr,ffi21
CTTY: lt/, /'.2, nP,b-, stzint/lztp:#3lt
;o/arrt c. co* PHoNE #: Qto Yo7 S:Zrn
pRolEcr coNrAcr pERsor,rr:
,n t I ' '
e
-
pH0NE
#:
9/d ilaa-f7.,
EXTSTTNG CoNSTRUCTTOX:
ffiAlrenArrON f nrruOVluOru
fle erurnm REPATRS
f] nelOCArrOr'r
NEr.t C0NSTRUCTTON:
I rneCr NEhr RESTDEiICE or flADDrrlON TO EXTSTTNG RE5TDENCE
i+PLEASE CHECX AND ANs}JER EELOW ALL THAT APPLY TO YOUR PRO]ECTT
flarr GARAGE
--
sF I orr GARAcEsF
fJ PoRcH
-
sF
fl sronecr sHED
--
sF
CTHER: SF
I survnoomSF
I eoor-
_ sF
I cneenxousE
-
sF
I oecr
T0TAL HEATED SQ FT: 2Og0 TOTAL SQ FT UNDER Rs/rt
3.10o TOTAL AREA
ToTAL PRoJECT CoST[.essuou I
$ 26
OOO # 0F SToRIES:
/
Is any ELECTRICAL, PLUI'IBING or tit€CHAI'uCAL tJork Being Done to the Accessony Structure?
ffVes fJ ruo
If the project
is a Relocation, is there a Natunal Gas Line on the Current Site?
f ves t Ho
rs there Electrical Power on this Buj.Idingl ffves f] ruo
pRopERTy usE
/ occuPANcY: H/SrNGLE FAHTLY
f ourlex flrowmrouse
DESCRIPTION Ar,
r?
DISCLAIMER I
hereby certrty fat all information in his application is
correct md dl lvork will comply witl he State Building Code aod atl oher pplicable SlraE
anc local laws
and crcirences rrd regulations. The NHC
Derelopment Scryices CenEr rlill be no!6ed ol any changos m
hB approved pbns and spocrfcations or chryrge rn
conrac@r o,
rs rHE pRopERTy LocATED rN A FlooDpurrur
l-l yrs f] ruo
EXISTING IMPERVIOUS AREA:
__--SQ FTTOTAL
PERptrr:
l-l ves
fl ruoNEl., IMPERVIOUS
AREA:
_ Sq FT EXIST
A",4
WATER:
l\l creua
! cor"tmuNrry
sysrEM
I enrvare wrlu
sEl,lER:
ffi.roro fr.r*r*o, sEprrc
ff nnrvnru sEprrc
E :*Xf*l*ilon hqu,$o, ,ltll.ls4#r}t
I'* SEPARATE PERfiTTS REQUiREO FOR
ELECT, IIIECH, PLBG,
6A5 EQ{JIP, PREFAES
& INsERTS *i'
*'xr.x11'-';----?-'ff:-.?-Tfl.l:1:"'-'.::*x?-Hff:1'1":l:i'.'.'...H.lyJi:l-..H:.':::"*
,oru,
L5 oFFrcER:
tu: t **, ,L ,, J
*t"tuo oatt 04/77/72
"./ ,//r..r/t LTCEN5E
SF
l^)
ACRES DISTURBED:
LAND DISTURBING
BLOCK
Appnoval:_ City:
#
U BFE+2ft=t-F
CONTRACTOR:
ADDRES5:
ccniaclrr in-bnr rlirrn. "'NOTE: Any
lvork Perlormed W,O ne ApFr.pr,ae Permils
$/fl bo in Viola$on ol ihe NC SlaE
o!.INER/CONTRAcToR:
4A,.I //,'.+' SIGNATURE: -
l
ffi
APPLICANT' S
DEVELOPER:
l06 bLtl
APPLICATION
Number
(office Use)
NEId HANOVER COUNTY BUILDING PERIVUT
APPLICATION |YPE; COIIMERCIAL
PLEASE ANSWER ALT QUESTIONS APPLICABLE TO YOUR PRO]ECI
"Pnoject Responsibility"
\,
PRO]ECT ADDRESS:
OCCUPANT/BUSINESS
PROPERTY OWNER,S
O},INER'5 ADDRESS:
CONTRACTOR:
ADDRESS:
EI,IAI L
PRO]ECT CONTACT PERSON:
LIC
CITY:
l^".1 ^
ST
PHONE #:
PHONE T:
Exrsr coNsrRucrroN :
E ALrERArro, g/**Jilffi 'fi ^l"'il*o.
lf Rolocation, is there a Natural Gas Line on the Currenl Sile? E Y; E No
neparns J-l RE LocATroN
rs eroc spRfi.r-xreqss,
I ves
I No
NEI,J CONSTRUCTTON:
E ERECT NEW STRUCTURE
! rasr rnnCX
I Snrr-r-
ffuern I mo rO Exrsr STRUCTURE
ACCESSORY STRUCTURE:
DA
If UPFIT
- The SheII Penmit #:Is E1ect Power on
this Euilding E Yes
nro
oF occuPANcY usrl
Ivrs f]io *****
l4hat is the New Occupancy Type?
NC REG
NC REG
the laclllly orbulldlng was found to
# OF UNITS:
* * *,|,|
was the Previous
PROFESSIOI\AL:
IS THIS A CHANGE
Occupancy Type?
IF Yes, what
ARCH DESIGN
ENGR DESIGNPROFESSIOl\lAL:
Note: Demolldon noilficallons & ssbeslos r€lnoval p€mlt appllcalions are to be submlled uslng lhe appll€lion fom
DESCRIPTIoN 0F tioRK:
ls food or beverages pr€pared or served in ttristsruaurel
[VJ" [ *o s rn" eroperty Located ln The
[v"" I uo
applicable Slate
I sDecifications
Bldq code and
OWNEFYCONTRACTOR: I v
\t
j--.-)
(oudlll64 {Prlnt
DISCLAIMER: I hereby cenily lhar all rnformation in
this application is correcl and all work willcomply wilh lhe Stale Building Code and all
and local laws and ordlnances and reoulalions Tte NHC Developmenl Servrces Cenler will be notrfied ol any changFs In lhe approved pla
or chanqe rn contracror or conlractor raforqalion. "'NOTE Any Work PerformgCw/O the Appropriale Perm'ls will be in Violalion ol lhe
N(
subjecrio Fines up ro $500 00"' [ [.,,-" it,"- ^ ( - re ,' 4
conrsin Asbesros or not. You are requlred !o callth€ N€tjonal Emission Slandards f.tr Hszardous Alr PollutanG (NESHAP) al (919)707-5950 al le8st 10 days Fror to ihe
d€molhlon of sny hcllny or bulldlng. See fubestos Web She: httpl,\r\T w.6pi.sl3le. nc.
us/epi/asbestos/ah m p.
hlm l
# OF STRUCTURES:
# OF STORIES:
# OF FLOORS:
SO FT
fiucnrrsa I orscown
REVISED DATE IU1 1/12
ZONE:OFFICER:RH:_B:
BFE+2ft=
rorAl pRoJEcr cosr$f,O oO BUTLDTNG HETcHT:
ToTALAREASQFT'
[<iffi--- sorreenrr-n,
/?tJ7
TOTAL SO FT UNOER ROOF:
ACRES DISTURBEO:
NEW IMPERVIOUS AREA:
ExsT LAND DlsrunstNc prnr\rtrz [-"lYES
f] No
SQ FT EXISTING IMPERVIOUS AREA:
pRopERry usE: EoFFrcE EnesreunnHr
lltenceurtu leouc leer lcoNoo oTHER:
WATER: E6FPUA [] COMMUNITY SYSTEM
EWELL f]ZONING USE CLASSIFICATION:
SEWER: E?JCFPUA I:]CENTRAL SEPTIC LIPRIVATE SEPTIC ECOMMUNITY SYSTEM
fficnecx leavaaLE ro NHc)
[eru eccouxr
(FOR OFFTCE USE ONLY)
SETBACKS: F:
Approval:- City:- DATE:- FLOOD:
PAYIV|ENT METHOD:
[CeSn
Comment
LH:
J.*r,.r..,
$Wo '
NAME :
PHONEo,E)oEgJo@
ST: ZIP t
ACCOUNT #:
tlar
@W
PH:
PH:
gz1{-St_tt.
?ar-W
APPLICATION
Numt er
NEId HANOVER COUNTY BUILDING PERMIT
APPLI,ATI2N IYPE: DEI4OLITIO
PLEASE PRINT CIEARLY 8 ANSIIER ALL QUEST1ONS
"Prcject Responsibility"
APPL:CANT,S I,IAilE: MARK tEE
DEVELOPER: NoRTHSTAR DEMOLITION AND REMEDIA?ICN, LP PHONE
PROJECT ADDRESS: 801 surroN srEAt'l Pl,ANr RD CITY:
JElgPg
SUBDIVISION: N/A
_ BLoCK #: ]q!_ LoT *:
(orft*{*)
DArEt
392212!)L
#:
&3:::!?:L
MM!: DTJKE ENERGY
zt?'t 2533]_
N,/A
PHot'lE *: 919-3s3 -1.s71PROPERTY OWNERJ S
OtriNER'S ADDRESS:
400 s rRyoN srREEr CITYI
.@QIIE-- ST: Nc ZIP:!!2!!
CoNTMCToR:
@ LICENSE *: 55t'te
ADDRESS: 152 4 TOAL STREET CITY: CHARLOTTE ST: NC ZIP: 28205
El'lAIL AoDRESS : rDrAr'.roNDoNoRrHSTAR. coM PHoNE #: ?04-331-0231
pROIECT CONTACT PERSON; MARK LEE
/ TERESA prAr4oNp PHoNE #: 704-133-0231
DESCRIPTIoN oF TJORKI rorAl pBMolrrrroN oF Two s50' TAtt CoNCRETE srACKS.
(Hhat rype
of sulldlng Do You uant ro Delmllsn?)
and ordinances and egutrao;s. Ths NHC Development Se.vices Centerwittbe notified o,6ny cnanges in lhe apptoved plans and sp€cificauons or change in conlraclor or
conrlactor inlormaton. ...NOTE: Any Wo.k P€r{omed WO the Appropriat€ Perml6 willbe in Molauon ol th€ NC Slale Btdg Code and,Subjecl to Finss
UpTo5500.00"'
owNER/coNTRAcroR:
%
'TGNATURE:
@
(Prlnt Name)
*,* * rt !t
* )i
x,f **,t ji(
'irt*,t ,***,t*****t ++d:{.*+******+*+,t,}**+*'a+**)t*:i*:****+++*****:tr(*!*'l*rt+*x,*,*)**rt*rt***
rs THE PROIECT:
I ReSrOrnlrAl 7
[ comretcral TOTAL ACRES DISTURBED:6000 Fr
TOTAL PROIECT COST (Less
tor:
$:..) ^^ExlsrrNc LAND DrsruRBrNG PERttrr?
[ ves
B ruo
DoEs rHrs srRUcruRE oR BUTLDTNG coNTArN AsBEsrosl
I vrs I tlo
rs rHERE
A NATURAL GAs LrNE coNNEcrED To rHrs BUlLDrNel
I ves
I r'ro
rs rHERE ELECTRTcAL pot.tER oN THrs BUTLDTNG?
[ves I r,ro
warER:
I creur
! collr4uNrrY svsrrlt
E PRrvarE WELL
sErrJER:
f] crpue
E cENTRAL sEPTrc
E pnrvnre srnrrc
f] comr'luNrrY sYsrEM
Nob: The Nationat Emisslon slandards fof Hazardous Air Pollutents (NESHAP) Regulalions Requke thal you contact them at (9'19)707-5950 at least 10
days prio. to the d€molltlon of any fiacillty or building, whelher lhe lacility or building was found to contain Asb€stos or not. Demolitlon nolifications &
asb€stos removat permil applications Ere to be submitted using the application form (DHHS-3768). This form can be found on the web sile shown belo,{.
Note: Obtalnlng a demotjtion permlt from the NHC lnspections Depl. does NOT salisly or meel the nollicalion requkemenls of lhe HHCU (Health
Hazards Control Unit). .Keep in mind that an asbestos su ey is r€quired by a NC accredited asbestos inspector prior to any renovation or demolitlon of
a tacilily. Please see lhe Asbestos web sile httD://Yvl^l,v.€Di.slale nc_lrs/eDl/asbestos/ahmo hlml
=,mc)m
mE'
=.a\9
a9
a=
ET
pAymENr
rilETHoD:
[cnsr f] orrcr (pAyAsLE
ro NHc) [ amenrcaru exeness E] tlclvrsr ff orscovrr
:i**,***,* * r***x* *,* *,t**+t +********:*)t* ** )t
* ,t,*,F
*,* *,t * +'* t *rt * *+ ++ * ****r**,k* *t*)t * ***,t***ri* *,1 * **r(**x*
(FOR OTiICE UsE ONLY)
SETBACKS: F:- LH:RH: B:
Approval :- City :- DATE :- FL00D ;
ZONE :
Comment:
OF FICE R :
BFE+2ft=
N
PERI4IT FEE: $
B+r
PLEASE AiISI./ER
ALL QUESTIO S APPTICABLE TO YOUR PROJECT
BLOCK
r:
LrcENsE
*: l"/.,CtQl
CTTY:
i.t l' I a.,r
PHONE
Exrsrr'G coNsrRucrroN: Q airenarror
fl nrruovarroN
! eer,rrnal REpArRs
E RELOCATT.N
NEU CONSTRUCTIOI'I'
f] TNrCr NEW RESIDENCE
O" [tAOOrrrOU TO EXI5TrNG RESIDEITICE
.,PLEASE CHECX AiIO ANSWER BELON
ALL THAT APPLY
TO YOUR PRO]€CT:
ff arr erue r
-
sF I orr eaRne
r sr V poeca ,/ Z o
flsur'rnoom
-sF
g roor --lf- -r;;;.ffi-_ sF
[_f oRerwousr
_ sr I orcx
_ sr ora*, /?
4- sp
rOTAL HEATED
SQrr: /44 ToTAL sQ FT UNDER
aoor: Z(oU ToTAL AREA
seFr: ?C/
TOTAL PROIECT C05T lress roq
| $ L|O,OAO.u f OF STORIES:
/
rs any ELECTRTCAL, pLuilBrllc
or EcHA{rcaL
work Eeing Done
to the accessory structure) [ v", I rorf the project
is a Relocation, i.s there a Naturar. Gas
Line on
the current
sit.l DrI D rors there Electnical power on
this Buitding?f]v"s l-l Ho
PRoPERW USE
/ OCCUPAITICY:
[F[
,r+,N***)* *:* * * :r
*:r )r )r*** ***
**** *(I'*I! Jil"J * *
*** *
**** ** *
*,i**:r**,r,r*:r:l* *
rs rHE pRopERTy rocATED
rN A FIOODPLATN?
fl yEs E ruo
\\$-,
ffi
APPLICANT '' S
DEVELOPER:
NEtd HANOVER COUNTY
BUILDING pERMfT \ r- *
t / -- /-).
APPLICATTON TYPE:
RESIDENTIAL [ > L \O (1
APPI-ICATION
Number
(office Use)
'Lolr+zn
oal::.rb-/Q-l{
PHOIE
#:
PRO]ECT ADDRESS:
SUBDMSfONT
PROPERTY OtrlI{ER'S
OWNER'S ADOREsS:
CONTRACTOR:
ADDRESS:
LOT
#:
8:
ZtP:
Z &9n4'
sr,@&af
sf :
tttd.tp: ?.sia/ctK*, 7L -'E{U<*EiIAIL ADDRESS:
PRO]ECT CONTACT PERSON:
PHONE
P
HONE
7
vrrl
C)m
rrl
C:'
=I\p
t9
G'
EXISTII{G IITP ERVIOT,,S AREA:
NEW
IMPERVIOI'S AREA:
)t )h*
*****,t** **)** **
TOTAL ACRES DISTURBED:
Exrsr LAID DrsruRBrNc prnnrr, l-l yes [--l ruo
SQ FT
SQ FT
htAtER I
dlrpua ! couuururw svsre r.r
I pRrvATE wELr
I ceurnnl
wrll
sEHEn: p[ crcua
! CENTML
sEprrc
! enrvare
srerrc
f] coMMUNrw sysrEr,t
'i** SEPARATE PER,'1rrs REQUTRED FoR ELECT, r'{ECH, pL86, GAs EQUrp, pREFAgs & rNsERTs *+'
payr,rE
r rilErHoD:
! casn flcxrcK (PAYABLE
ro
nrcl
[*r*ra*,*r*ri, E rarriro
' " ! rr.orr^* *
*,1**'* *,t:r * :t
* '*:t :r
*:l * *** *)***
**** ++* + *:r:r *:*,|**,****** **,r,t * )r)i* )*:t + **,t *,*,t*:i,r*******ir** ***:r *,*** *:*
(roi oFrtcE usE oNrY)
SETBAC(S:
F: LH:
REVISED DAT' 04l11/12
zoNE:
_ oF FICER:
Approval:_ City:
Comment:
"Project Responslbility,
DESCRIPTIOI{ OF WORX:
DATE:FLOOD:
conIactrr inbrmaion.
OWNER/CONTRACTOR:SI6NATURE
i
9
ffi
rR{ ivLworL- s,,"(f+# "-l6bzNEW HANOVER COUNTY BUILDING PERMIT
1o( s--(0TT-)
appJiffi'x
ilumber
(office Use)
APPLZCAfi(N
TYPE: RESIDENTIAL
PLEAsE ANSHER
AtL Q{'ESTIOI{S APPLICABI.E
TO YOUR PRO]ECT
"ProJect Responsibility,
TOTAL ACRES DISTURBED:
APPLICA{T'S NAilE !
DEVITOPER:
PRO]ECT ADDRESS:
SUBDIVISIO{:
PROPERW OhIIER,S T{A}IE :
OhNER'S ATIORESS:CTTY:
st:Nc ztPt
Nl?
Cot$RACToRz &LICENE *:
AOORESS:
PRO]ECT CO{TACT PERSOiI:r\)PHoNE
s: 7to 7?/-%/p
Exrsrrir6 coilsrRucrroil,
f] llrruttoN f nrr.iovarrou
I cer,rrnar- REPATRS
I nrlocarrorv
NEr.' COI{STRUCTTOil:
I ERECT ilEW RESTDEI{CE o" ffiOnrOil TO EXTSTTNG RESTDENCE
..PLEASE CHECI( AIJD Aflst{ER BELOI., ALL fHAT APPLY T0 YOUR
PiOIECT:
I arr GAMGE
-
sF E oer GARAGE
-
sF
flsuunoom
-sr
D PooL
-
sF
f]cnrexxarsE
-
sF floecx
-
sF
n poncr
-sF
D sronace SHED
-
sF
OTHER:
---
5F
TOTAL HEATED SQ FT: TOTAL SQ FT UI$ER ROOF:rorAL AREA 5Q FT:
lfud
Structune?
[ ver Wo
Current
Sitet I ves Wno
ptpi{E
*: ap 7rr'-r.O48
TOTAL PROJECT COSTrLessLor) : $ /e # OF ST0RIES:
Is Any ETECTRICAL, PLUti8Iil6
or fiECHAIfCAL hlork Being Done to the Accessory
If the pnoject
is a Relocation, is thene a Natural Gas Line on the
rs there Electrical Power on this Buildintl I ves [ ruo
pBopERTy usE
/ occuPAHcv:
s srNcLE FAMTLY
I ourr-rx
! ro.lnxouse
DESCRIPTIOI{ OF }IORK:
h enrr.- fearc.q$art
and ordinsnces rnd rBgul8uons. Tie NHC Deyelopment Seilices Cenor will be notjfred ol sny changes in
fie spptoved plans 8rd specifcslions o, ctango in conlEcbr ot
conuacDr inbmalrn. .-NOTE: Any Work Perlomed WtO lhe
AppDpriab Pemits will be in Violation ol tie NC S1,8ts Bldg CodG ad Subrgcl b Flnes t p Tg t500.0q"
^i,r,Fir-Arr?Er-yAD. 1/)-rr,'- 1A..,.2- *- crGrt^yraE . ,4--> bft,-9;^(arn * {ilot#2"r.."-
rs rHE PROPERTY LOCATED rtJ A FLOODPLATI?
fl YES
f] xO
ExrsTrr{G titPERvrous AREA:
-sQ
FT
llElJ IiIPERVIqTS AREA:
--
SQ FT
DISCLAII|ER I heoby cerlify hal E[ inbrms$on in hls spplicsrion b conect snd all work wlll comPly wifi he Slsls Building C,ode 8nd all otiet applicabk Stale and local laws
sEllER:
ff rruo g at*r*l sEPrrc
fJ nnrvere sEPTrc
f] corrutrw sYsrEM
r,rArER:
ff;reua ft comr,runrw sYsrEM
I eRrvarr weu
f] ceurnar- wedr-
Exrsr LAI{D DTSTURTIG ,PERilrr: l-l VeS
,^,c,, l-l rs.ronr ,r,'lir'IPe0fiArt P*rr,n kurea,st*254w
Em
T1' SEPA&ATE PERI.IITS REQUIREO FOR ELECT, I'IECH,
PLBG, GAs EQUIP, PREFABS
& INSERTS ITT
pAyr,rEr{T
r{E1oD:
E cosr
[cxrcx (nAvABLE ro H]rc) lntrenrcaH ExpREss
fltcrvrso f prscwrn
*:.ri* rt*t *r** f *!t tt** I *r * t t I t* 1* ** * t** a i+i:l ***:l ** '3t al I at a * ! l* r a * 'l *l* r tti tl ll l ar***tl rta tt*
t A *nt P(-r, 3o#"0
D^rE utr''/72
\l BFE+2ft=-r'=-
zone: fLr{oFFrcER: d, :IrIffi': i','2 r^,
Aoproval:- city: lJttt D,nEt lf24//{ FL@D:
....-
comment:PER,IIT
fet: l.
ETTAIL ADDRESS:
ztPt zEF&
-/
I
ffi
APPLICANT' S
DEVELOPER:
* p,twu LyvorL
swp"J
*(?'F!!1ln
NEW
HAN,,ER
couNTy,rr.rr*u'
Jr*iriffi*
APPLICATION
TYPE; RESIDENTIAL
PTEASE ANSWER
ATL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Respons
ibil it!/,
2 rrr <-€--
rr, e //l
APPLICATION
Number
(offi(e Use)
NAIT1E :
DATE :
PROJECT ADDRESS;
SUBDIVISION:
PK)NE
f :
PHONE f:
LOT
PROPERTY O9{I{ER, S I'IAI4E:
OIINER'S ADDRESS:CITY:
LICENSE
*:
PtO E [: ?tt -fr/* V.tig
PHo E *: 7tO 7?*(olp
! arr canrcr
! sulnoor,r SF
BELOW
ALL THAT APPLY TO
sF ! oer canaer
sr
! eoncx
-sF
NO
ACRES DISTURBED:
I eooL
! orcx
SF
Fs
structure?
[ v"r fif-ruo
curnent
site?
! vur Q-ruo
DESCRIPTIOT'|
0F l.,lORX :
rs rHE pRopERTy rocATED
rN
a rlooort-lrr?
f] ves
EXISTII{G IIiIPERVIOUS AREA:
-SQ
FT
NEh' IMPERVIOUS AREA:
ZONE :
OFFICER:
Approval:
TOTAL
hEvIsE0 DATE
04l11/12
LH:_ RH:-- B:
BF E+ 2ft =
li
PERiIIT FEE: $
CONTRACTOR:&o,L /h,t n
ADDRESS: 1
EiIIAIL ADDRESS:! r. te-
/hc,,a7- Ne7
PROJECT CONTACTPERSON:
Cn r>'t
ar12
EXrST ,lc CONSTRUCTTON:
f] alrenarroN
fl nrr,iovnrrot
I cetrnal neerrns
f] RELoCATToN
NEt.t coNsrRucrrol:
! enrcr NEt.l RESTDENcE
o" ffip1119x ro ExrsrrNc RESTDENcE
i.'PLEASE CHECK AI'ID AiISI..IER
! cnreuousr
_ sF
TOTAL HEATED
5Q FT:
TOTAL PROIECT CoST 1r-ess ror;
t $ 7.(rJoo f OF STORIES:
Is Any ELECTRICAL, PLU BIT{G
or i!ECHC{ICAI- Work
Being Done
to the Accessory
If the project
is a Relocation,
is there a Natural Gas
Line on the
Is there Electnical Power on
this Building?[Ves Ito
PRoPERW
usE
/ occuPAllcy,
ffsrNc,, rrmr.lv
fl ourr-rx
! TouNHoUs-E
SF
! sronace sHeo
SF OTHE R:
TOTAL SQ FT UNDER ROOF:
roTAt AREA
se rr: /(x //
ut1+c- feelc.q*>n
DISCLAIMER: lhelEby ce(itv hal all inbrmstjon in
his applical,on is
coneci and .ll work witl compty wih h€ sr"te ariEing coa"
"no
"itohu, "ppti""ote
srats and tocat taws
:::.:j:f :::":*S,j1;*.rl-: T:-9,T:gTnrsetuices c€nEr wir be nodred or enychanoes in
he approveo prans ano
specin""ii"1"
il"i*e", _"*"o,
*conlracbrinbfinalion'nNOTE:AnyworkPerlofinedwOfieApprcpriaEPemirswittb€inviolarionotlheNCSucaugCoo.,nasubrcrb;mesupTog5o00o.,
ouNER/coNTRAcrsx; (art,,n ///-.,7q"-"-- srGMruRE:
ZI-,*: /2,=-4=i,*
* )t* * ,t
*:i 't **
'|
* **+ **** *** **** *(I i'fl Ji1l] * * * **
***** **,r *:l* * +,1!* ,*
*:** *:i*,** * **,r**,r:l*,| )r* *,* r *r
*(*****
SQ FT
ExIsT LAND DTSTURB
{G pennrr: l-l vrs [--l r,ro
,l,ArERt VcFpuA fl cor'truurw sysrEM
D pRrvATE wELL
! crrurul wrlr
sEwERt WcFpuA I crrrnnr-
srerrc
! pRrvArE sEprrc
f] coMr,rururw svsrrm
I** SEPMATE PER',IIIS REQUIRED FOR
ELICT, MECiI, PLBG, GAS EQU]P, PREFABS
& INSERTS +i1
payr,lEirr r1ErHoDr
E cos,r ncxrcK (PAYABLE
ro mrcl
I arenra*
,irrrir f] ,c/vrso ! orscovra
:*,t * * ** *** +*++** **** )*
** ** )t,f :f
*:l * * *:i *)*)t* ***,t*,t ** ****,t*:t * *:t * **,i ***,t *:f)t:t,tr'tx )*** **** *
*,t,r tl * +:t ,t,t
(foR ofFrcE
ust otirY)
SETBACKS: F:
YOUR PRO]ECT:
comment:
Citv: DATE:FLOOD:
Sr tNc zI.P I Nqa,
NEId HANOVER COUNTY BUILDING
APPLICATION TYPE
: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
NAItlE:
D.R. Horron
Inc
PROIECT ADDRESSi (t:'t Steele Looo
SUBDIVISION: The Reserve
at west Bav 62
CITY: wilminsron
ZIP: 28411-
OWNER'S ADDRESS: 4073
Betle rerre Btvd.
CONTRACTOR: D.R. Horton, rnlvrrrrr^s.v... %
ADDRESS:
4073 Bell-e Terre Btvd.
EMAIL ADDRESS: emfacundoGdrhorron.com
LICENSE #2 29616 ACCOUNT
#:
CITY: MyrtIe Beach
LOT #: 6
PHoNE #: 843-357-840C
ST: sc zIPz 29519
sT: sc zIP2 29519
PHONE #i 843-3s7-8400
PHONE #: 843-33r-i204
BLOCK #:
PROPERTY
OWNER'S MIrtE: D.R. HorrIn
CfTY: Mvrtle Beach
PROIECT CONTACT PERSON: Enrique Morafes
ExrsTrNG coNsTRucrroru:
! ALTERATToN
! nrruovarroru
! crruennl REPATRS
f] nrlocarroru
NEt,,, coNsTRUCTroN:
@ rnrcr NEW RESTDENCE or
! noorrroN To ExrsTrNG RESTDENCE
**PLEASE CHECK AND ANSWER
Inrr GARAGE 460
! orr GARAGE
! surunoolr
_sF! eoor-
! cneeruHousr
I oecr
TOTAL HEATED
SQ FTt
2ts8 TOTAL SQ FT UNDER
TOTAL PROIECT COSTlresst-or1
! $ tqq,tze #
Is Any ELECTRICAL, PLUf{BING or MECHANICAL Work Being Done to the Accessory Structure?
ffi Ves E f,fo
If the pnoject
is a Relocation, is thene a Natunal Gas Line on the Current
Site? [ V"r E to
Is thene Electnical Power on
this Building?
[-l y"t E *o
pRopERTY USE
/ OCCUPANCYt
E] SrruClE FAMTLY
! OUer-rX
! TOWTHOUSE
DESCRIPTION OF hIORK: Sinsle FamiLy F.esidential
and ordinances and regulations. The N H C Development Se rvices Cen ter will be notjfied of any changes in tre approved plan s and specifications or change in
contracto r
or
conractor information. -""NOTE:AnyWork Performed W/O freAppropriate Permitswillbe in Violation of the NC State Bldg Code and Subject to Fines Up To $500.00'--
OWNER/CONTRACTOR: phittip Ba1derose,,p.F.. Horron SIGNATURE:
p(balderote@dlhofton.com oi --r.i. * "*ao "a- ..
(Print Name)****r(****************tr(*********i(*******r(***************************{.*r.******************
rs THE pROpERTy LOCATED
rN A FLOODPLATN?
[-l VES E nO
EXISTING II4PERVIOUS AREA:sQ Fr
sQ FrNEW IMPERVIOUS AREA: 3125
TOTAL ACRES DISTURBED: .0./
EXIST LAND DI5TURBING PERMIT:
[T] VCS
[E] T,TO
wATER,
I crnua
! coumururry sysrEM
! enrvnrr wrll ! crnrnaL wELL
sEWER:
I crnua
! crrurnnl sEprrc
I nnrvnrE sEprrc
E comrqurrrrry sysrEM
*'** SEPARATE PERJI{ITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS ***
J casx E] cxecr (eAvABLE
ro NHc)
fi arr-r- AccouNr
fi l,rczvrsn
fl orscovenPAYMENT METHOD: L
{<{.***r<r(******r<*****r({<*d(r<**,1(,t*r<*r<**********,t(*******XX*********)F********{.*r.,1.r.************r(
ZONE:OFFICER:
BELOW
SF
SF
ALL THAT APPLY TO YOUR PROJECT:
SF
sF
E PoRCH 111 sF
! sronacE sHED
OTHER:
ROOF: :ossTOTAL AREA
SQ FT: :osq
OF STORIES:
5F
SFSF
(FOR OFFICE USE ONLY)
SETBACKS: F:
REVISED
OAIE @4/LL/72
Z\tf-bL.,.t
PERMIT 15
- 625
APPLICATION
Number
(Office Use)
DATE: 6-1 o-1 4
PHONE
#:
Appnoval:_ City:_DATE:- FLOOD:
LH:RH: B:
BFE+2ft
=l-3(00
-
7cffQ&?
lr{'YC
apFliifii&r
lfunbcr
(Offlsr ur.)
PIEASE At{5t{ER
Att QTJESTIO|IS App[Ia3rt To yflJn pRoJECr
NEhI HAITIOVER COUNTY
BUILDING PERMIT
ffpLZCArrW
rt"sr RESIDEITTTIAL
SUBDIVISION:
PR#ERTY OTfiCN,s
OlfiEi's AD08E55:
COITTRACTOE:
AODRESS:
EitAIL ADONESS:
PRO]ECT COffIACT
:5* &%LOTf:
Pt5t{t #:
7 ua ruts
CIWr
iJi I
f ri-Lrcti6[
clw:
5T:
ST:,ca PI{ftT
P|fri'E
*:
*:
Exrsrlrre collsrRucrlon,
D ALTERAT:oI{
[ nsnovrrrou fi[ernrnnl REpArRs
ft n*oclrroH
t{Eh, coilSTRucrx0t'l:
I rnrcr !{Ell f;EsrDErrcr
or
I ADDITTG{
T0
Exrsrritc REsrDElcE
..PL[A T .'61X ATS ${II{ER BETOI{
ALL TIIIT APPLY TO YOJR P[O]ECT:
I arr GAMGE
-
sF
D sunnoon
-sF
f, cnerHnousE
-
sF
TOTAL HIATED SQ FT:TOTAr
5q FT
a
t ,'t' , r. ,
R@r: 1 : 'i -t TOTAL AREA
OF STORIES:
-
TOTAL PBOIECT C0ST(r-sssr-orl
| $\OC'':
floer GARAGE sr EI **r fr?A ,,fi[roor.3p]J&t.sr [] sroMGE sHED
_ sF
fif oecx I .60 o sr orHER:
-____
sF
UI'IDER
s
Is Any EtEcItrIClL, PLU!{BI}IG
or flECtllilf(Al ]sork Belng Done
to the Accessory Structune? [ Ves -El ,orf the proJect
is a Relocatlon,
ls there a ilatural Gas
Llne on the Current
sit.l fJG E[noIs there Electrical Power on
this Buitding?
fl ves @tro
pRop[RTy usE
/ ocq,Pucv, EI sritGLE TAMILY
I wrrex flruxrcusrch 0a*P ocwnk'e{DESCRIP'IOT{ OF
Dlscl-^ilnERlhe'obycs'1ilyhdrllnbrmg0oo|nhtrsp!$rr{onbcorrcl$dsllro'twlilcnrt$rwih&osttbBullding@
snd otdrllncot rnd rc0ulsrhnr' tht ilHc o.vebpm.nt sirvbG. c.nDr wix bc notrcd
olrnr cionl". l.t,"- tlr*d_1".1 .r,o
io"#ii",,, orch*ngo in conrrlcb, orcont acbr hbrnaton,..t{OTE:Any l4rort pcrfomad Wrc
hi App,$pdrt pi,rnib w0t bc hhfrdn of rf," NC
Sbb Bld!|GO6e
.rd -q,rhilsr h rrr-- r u r- rtnr&*..
ordi{ER/cor{rnAcrox, €ky'i.n€\TT. (, A-fi ,"t&k- Sr&{AruRE:
*.****.****;ffi
rs rHE pnoptRw LocArED
r[ A FroooplAr]t?
f] vrs .EI rw
EXISTITG IIPERVI(XTS AREA:
_ SQ FT
xEl,l lfiPIXYlOti AREA: _ SQ FT
IOTAT ACNES
DISWRBED:
U
ExrsT LA|E DrsruRBrltc pEf,nrr: f] vrs
&o
rr' SEPARATE prRfiITS REQI.'IRED FOR ELECT,
,4ECHJL86] cAS gQUIp, PRErAES & II6ERT5..,
pAYt4Er{T
rlErtro: flcrsx EI'.rr.* (payABLr
;6-n;r;;;;;;;, 'il#l
[orscovrr'*r***'i**tttl*ttttt*t**,.tt*tt**tl*+*r***rt*t*rtt**********t***ti**rtra*laat**lt*t*r,**la*r+*t+a
l,rArERr W crnu*
fl co,u-runrry
sysrrl,t
fJrnmrr Nru
I crr*rul uer-l
sEr,lER:
fficrnur fl cerrur- sEprrc
fl rnrvarr srprrc
f] r***rry sysTrlr
(r0R 0frrcE ust otrY)
ZONE:
-
OFFICER:SETBACKS:
F: LH: RH: p.,_u._
OATE:- FLooDr
T_ l-*_ BFE+2ft"
SQ FTI
/*
xmc')m
mtrl
=
=,
T\D
(})
h,
Lfi
REyISID DAr[
ut71/r2
-
t,l4 -365f,
zIPt ?q,V! (
ZID:
D-"qr
Approval
:- Ci
ty :_
tJ-
ELOCX *:
AI'PLJOI'IYT,S t{AfiE:
DEVELOPER:
PRO]ECT ADDfiESS:
Pl0{E s:
e.D.^,)/s^-(r?3PERIUIIT \
'LotsUtY
s
NEW HANOVER COUNTY
BUILDING
APPLICaTIoN
rypE; COl4ltlERCfAL
PLEASE AIIS}IER
AI,L QUESTIOI,IS APPI.ICABI-E TO YOUR PROJECT
"ProJect Responribility,,
APPLICATIOI{
[umber
(Office Us€)
APPLICAiIT, S NAITIE:
DEVELOPER:
PRO]ECT ADDRESS:
OCCUPAI{T/BUSI ESS NAITE:
PROPERTY OI{I{ER,S
Ofll'lER'S ADDRESS:
J CONTRACTOR:
AODRESS:
ETTAIL ADDRESS:
PRO]ECT CONTACT
_ -,- (Che(k A11 rhat apply)
Exrsr cOitSTRUcTroH:
@-elrrnarrOu I nrr\lovarror
[-l eHlenal nrparns J-l RELocATToN
tf Retocarion, is there a Naturatcas Line onthe Eirent site?
[vel[ruo ts eLDc spii KLEReor
[v". INo
Permit #:
r{Eul coNsrRucrroN,
! tntcr NEl{ srRUcruRE
! rnsr rnrcr
f] sxer-r.
! unrrr
I aDD
To Exrsr srRucruRE
ACCESSORY STRUCIURE:
If UPFIT
- Th€ ShEII
oF occuPAilcY
user
flvrs fr o *.*t.
hltat
ls the tlerr occupancy
Is Elect Power
on this Building E yes E ruO
Type
I
NC REG
a*1** rs Is a cHAilGE
IF Yes, wiat was the Previous Occupancy Type?
ARCH DESIGN PROFESSIOML:
EI{GR DESIGiJ PROFESSIOML:
DESCRIPTIOI,I 0F l.,0RK :
ls food or beverages p€pared or seryed in us sr,rrure? f]ves
E1(o b fte Property Localrd ln The Floodptain?flyes
fiffi
DISCLAIMER: I hereby c€nify lhat alllnformauon h lhis-appllcation is conecl and att,rJork wiltcornpty with the State Bullding Code and
a other
il'drlffiE!"ffi".l$A8l-1iHi,EH"',",flii"Ji""iidJlF.N39#ifJlnTf;"l:fl,]ffi9/93",lylpX?Jr"g'i"'r"J,"fil.!]i,,"&";tllF"fffB,,igRj"ii-EGF?ifiFi;;;'il;"itr$"so'd'd'o:;'-'"-"-*rL rrvrt:Arrv worK rerornleo
wu Ine Apr /-\ -, 'y
oWNEFUCONTRAIOA: El z"
h-{t- Do-,-,SIGNATURE:
) //,-f,
TOTAL SQ FT UNDER ROOF:
_ # OF STRUCTURES:# OF FLOORS:
ACRES DISTURBED:Exsr LAND DtsruRatuo eeRnm
llll ves
ffio
NEW IMPERVIOUS AREA:SQ FT EXISTING IMPERVIOUS AREA:
_ Se FT
pRopERTyusE: EoFFrcE Enesraunem
ffi,awrcfleouc fleer [mruoo on ^, ( I LlL
WATER: ECFPUA ECOMMUNTTY Svsrru gfieu IIZON|NG USE CTASS|F|CAT|ON:
SEWER: ECFPUA EICENTRAL SEPTIC L:}fRlvAIE SEPrrc [ICOMMUNITY SYSTEMNU{
-, SEPARATE PERMITS BEOUIRED FOR ELECT. MECH, PLBG, GAS EOUIP, PREFABS E INSERTS
''
pAyMENr MErHoD,
ff6aSn f]Cnecx leavnelE ro NHc) EAMERTCAN p(Pness
I ucruSe
I orscoven
(FOR OFFTCE USE ONLY)REVISED DAIE I/I1/I2
OFFICER:SETBACKS: F:-LH:RH: B:
conEln Asbeslos or not. You are Gqulrcd io
calltlle Na(ooalEmlsslon slsndsrds for Hazardous
Ar Pollut6nts (NESHAP) a (919)707,5950 8t lsssl lo drys p.tor lo fto
demolnron ol eny fedllly or bdEhg. Fee Asb€stos W6b Sil6: mpJ irlr{v.spi.st6le.nc.us/opuasbe$06/shmp.hht
r.
rorALpRoJEcrcosr:
!!![ BUTLD|NG
HacHT!&L #oFUNtrs:
ToTALAREASoFT. 1il7 sQ FT PER
FLR:- # oF SToRIES:
Note: Demolllion nollicalions & asbestos reftoval pemll spplications sre to b€ submlfi€d uslng the appllcatlon form (DHHS-,68) xAe$€r th€
hcllty or hjildin!
App'o\,a|: Crty:-DATE: FLOOD:BFE+2ft=
frm-,m
m(f
=
o
e,
ZONE:
DrrrE,04./
s
ztil
18///
*: 211.3?a L
Sf I
AlL ZIP:
,k ///
ST: ZIPI
PHorfE
s: 1+q- lqo
L
PHo E r: ,14^ni6e-
AtlE:
Comment PERMIT FEE: $
t5D
LICE SE #:
CTTY:
PH: NC REG #:
NEI^I HANOVER
COUNTY BUI LDING PERMIT
APPLICATION
TYPE: COI4MERCIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
Jennifer Lancaster
PROIECT ADDRESS: 1630 Mitirarv Curoff suire 110CITY: wilminsron
OCCUPANT/BUSINESS NAME:
errysrcaf rherapy
for women, rnc
APPLICANT'
S NAIIIE :
DEVELOPER:
dOts-ba35
15-L726
APPLICATION
Number
(office Use)
DATE: A5/24/L5
PHONE #i (gtol 4iL-2268
ZIpi 28403
PHONEPROPERTY
OhINER'S NAME:
OWNER,S ADDRESS: 1630
Jennifer Whaley
Militarv Cutoff Suite 110 CITY: wirminsron
LICENSE #: 5520j
CITY: witmin ton
#: (910) 798-23r8
ST: Nc ZTP.W
ST:
Nc ZIPi 2e4a5
#: (9Lo\ 4iL-2268
*i (9tal 4it-22G8
CONTRACTOR:
Stonehenqe Buildins Inc
ADDRESSi 662i. Amsrerdam Wav #2
EI{AIL ADDRESS:
stonehenqebui223Gbelf
south. net
PROIECT CONTACT PERSON! Jennifer Lancast-er
PHONE
PHONE
(Check Al.1 lhat Apply)
Exrsr coNsTRUcTrol: @ ALTERATToN
! neruovnrroru
! eerennl REpArRs
! nelocnrroru
lf Relocation, is there a Natural Gas Line on the ilrent Site?
ilY"f ffi ruo tS BLDG spiJilrlrneD?
il ves
ffi ruo
NEht coNsrRucrroN:
f, rnrcr NEW srRUcruRE
E FAsr rRAcK
! snrr-r-
! uerrr
! noo ro Exrsr srRUcruRE
ACCESSORY STRUCTURE:
If UPFIT
- The
Shell Permit #:
***** IS THIS A CHANGE
was
the Previous Occupancy Type?
PROFESSIOML:'rarren
tr{ilson
fl No *****
the New
Occupancy Type?
OF
IF Yes, what
ARCH DESIGN
ENGR DESIGN
PH: (9r0)815-oor9
PH: (910)399-1125
NC REG #i 2683
NC REG #: 8433PROFESSIOML: Duncan McFayden
DESCRIPTION OF WORK: Interior renovat.ion
of office space
ls food
or beverages prepared or served in this structuret
flves
E r.lo ls The Property Located ln The Floodplain?
[ Yes EJ No
DISCI-AIMER: I hereby certify that all information in this application is correct and all work will
comply with the State Building Code and all other applicable State
and local laws and
ordinances and reoulations. The NHC Develooment Services Center will be notified of anv chanoes in the aooroved olans and soecifications
or change in contractor or contractor ihformation. '-.NOTE: Any Work Performed
WO the Appropriate Permiis will 5e in Violation of the'NC State Bldg Code and
Subject-to Fines Up To $500.00...
OWNER/CONTRACTOR: rennifer
Lancaster SIGNATURE:
(Qualmer) (Print Narne)
contain Asbestos or not. You are required to call the Nationsl Emission Standards
br Hr-ardous Air Pollutants (NESHAP) at (919)707-5950 at least 10 days fior to the
demolition of any facility or building. See Asb€stos Web
Site: http:/twwrv.epi.state.nc.us/epi/asbestoyahmp.htnl
TOTAL PROJECT
COST: 157831 . OO
BUILDING HEIGHT: 30 , # OF UNITS:
TOTALAREASQ FT i 6352SQ FT PER FLR:# OF STORIES: z
# OF FLOORS:TOTALSQ FTUNDER ROOF:
t2, eoa #OF STRUCTURES:
Exsr LAND D|STURB|NG pERMtT?
[ veS
El *O
SQ FT EXISTING IMPERVIOUS AREA:
pRopERwusE: EoFFlcE EREsTAURANT
f]uencnrunLE
EEDUc EApr
[couoo orHER:
WATER: ECFPUA fICOMMUNITSYSTEM
f]WELL ffzoNINGUSECLASSIFICATIoN:
SEWER: ECFPUA ECENTRALSEPTIC LIPRIVATESEPTIC NCOMMUNITYSYSTEM
*- SEPARATE PERMITS REOUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS *-
PAYMENTMETHOD:
fiCnSn [CneCr(PAYABLETONHC) [nUenrCnNEXPRESS ffiUCnnSn IOSCOVen
(FOR OFFTCE USE ONLY)REVISED DATE 4-/11112
ZONE:OFFICER:SETBACKS: F:_LH:_ RH:_ B:_
Approval:_City:_DATE:_FLOOD: A v NBFE+2ft=
ACRES DISTURBED: O
NEW IMPERVIOUS
AREA: oSQ FT
Business
Is Etect Power on this Building ffi Ves f,f *O
occuPANcY usEl nYEs
What is
Comment PERMIT FEE: $
APPLICIrI'S
DEVEL@ER:
l{EH HATOVER COI'[{TY BUILDING PERITT
APPUCAIIqI DPE: RESTDE]TTIAL
PLEASE AIISER ALL QUESTIOE APPLICASI.E TO rcUR PRO]ECT
-Project Res pons
lbtlitf
{fo,n
CITY:
LICEIGE
*:
CITY:
PRO]ECT
SUBD ISIOI\I :
PROPERTY (H|ER'S
(TI{ER's ADDRESS:
COT{TRACTOR:
AIX'RESS:
EIATL AIORESS:
PRO]ECT
C( TACT PENS(I{:
P10 E *: 40.,t11.{b71
-sr,M.?EEi'ACOOI;{T
t: 3l?
-
sr,!!@@[@
Pfl E r: {10.11{-101{
PIT' E S:
]lEll cdrsl[rTr ,
ff a*ra
]€t REsTDErcE
o.
! rorrror To ExntTlxre RESIDErcE
ErISTnE G(rer rcTut
:
I arrenarrot
I nrmvlrrot
I cereul neatns lEceru
'*PLEASE Clficr AX) AEIER BELfl ALL IHAI
tpply m
mn mOIECT: t
fiarr eanaae lb| sF ! oer
eamae r,
fr**o 00 JUN 2 2 20t5
rs ArD/ ELEGTRTGaL,
Purar G or iEcHAxrca uork Belng DorE
to the Accessory structur.e?
[ v", flno ,rf the pnoject
is a Relocation,
is there a itatural Gjz Line on the curnent
sitel I ves ff torr Lr!!: pr
rrJElL
rs d [eruLdLJ,on, ].5 Inere a atural 6a5/L1
Is there Electrical Poi{er on this Building? !Ves [lfo
PROPERTY
rrSE
/ OCCrp$rY:SIlreLE FAI{ILY
unr-ex
I romrcusr
DCSCRTPTION OF I{ORX:
,O/5- b4g<+
rt/fugs
APPIICATIOII
l-.raer
(OCflG. rrs.)
, lhus fino
DISCIAIGE I
hdEby cedly fia[ al lnb.mabn in thls
4p&abn b
coiect and
d urort wtt
comdy witl t't€ S1a€ BulHhg oode
aid
and ordlnarces ard lBgulalhrts
Ttb NHc tb'/Ebprn€nt servbes oEnEr wi[ b€ notfied of
aly dErgrEs in fie 4D.olrEd pEls al(l sg9cofiatr infrmabn. ,..NOTE: Any Wbrk p6rbrnEd w/O 6e ApproprlsE pgBhiE wfl bo tn Vbffin o, ft€ NC Slab &g Code
oil{ERlofinacroR: cf4i 516 ATURE:
rs rHE pRopERw r-ocarED
r a rLoopurm
l]]l vss
lF
ExIsrIIs lrfEnrulqrs iga1, 25fiL q n
t{Er
rl+Ewrqrs ooo,
@- i n
TOTAL ACRES DISTURBED:
EXIST
IAID DI5II,RBII6 PERI{IT: f]trt
fr,.
raren, S cran
! c$!ul{rw svsrrm
I pRrvarE wELL
f] crrrRal well
sEffiR:
I crcur
! cEilrRAL
sEprrc
! rnrvarr
srerrc
! cot4]fntrw sysTEt4
*** SEPAIIATE PERIiITS REqUIRED FOR ELECT, IIECH, .PLB6, GAS EqUIP, PREFABS
& I 5ERT5 ***
payrlEr{r
r'rEnor,: E cr$ E o.,.c* (PAYABLE
rr, "*1 fl ,ra,. oa*ora I ncmsl I orscovrn
{. tl,*'t,.,* *
+t*+,}+++***t {.** +tt ** **t * **,t +,}t* t*{.{. *+*,} +**+d.*:t ,r{.,r,a,rl +,*,**,r*+++ +,t,t,**,}rri**,t *+** **+* **
(FOR OFFICE
tSE CiLY)
SETMC(S:
F:_ l-H:_ RH:_ B:
REVISED DAII O4l11/l2
BFE+2ft=
ZONE :OFFICER:
Approval:_ City:_ DATE:_ FLOOD:
Comrent:
t{
PERIIIT FEE:
PtoltE
*:
LOT *:
rorAl HEATED
sq
n, 5,1$'l rorAr sQ Fr lroER
*rJ,111,- lor*
** ,O
*@-
TOTAL PROJECT G(XiTrLessr.o
: t 120fi00 * OF
STOf,TES: A
bcro g't193
-----_TEW_F[AM'VEK COUNTY BUILDING PERMIT
APPLICATI1\'| IYPE: RESIDENTIAL
PLEASE ANSI{ER ALL QUESTIONS APPLICABTE TO YOUR PRO]ECT
"Project Responsibility"
.r{io
PROJECT ADDRESS:
SUBDIVISIO:
A0F-@37
ls-tr r?
appr-rcarrot
Number
(Office Use)
oerc,6-2 3-1iAPPLICANT'S t,lA E:
DEVELOPER:
€ .^ I (,r l-l".*
.
/.,.^.*> i
L
BLOCK #:
PROPERTY
OWNER'5rA
CONTRACTOR
ADDRESS:,rllJ(rrr,2?4o(o
pror{E
*:
_q,o.5}*f>2
EMAI L
PRO]ECT CONTACT PERSON:
EXTSTTNG CONSTRUCTTON:
E ALTERATTON
! aelrOVnrrOru
! eeHrnnr nienrnS
! RELOCATTON
NEW CONSTRUCTTO n. {eAeCt NElt RESTDENCE o"
! mOrrrOri rO EXTSTTNG RESTDENCE
TOTAL HEATED SQ rr, 3o? I TOTAL 5Q FT UNDER ROOF:
A*PLEASE CHECK AIID AI{SIIER BELO{ ALL THAT APPLY TO YOUR PRO]ECT: T I -
ff*, oo*0,
6L4 sr lorr ermoe ,r{oo*rr/o3 sr ('oeQrel't
bZ^:;! sulnoon
-sF
f] eoor-
-
sr ! sronaee sHED
-
sF
! enrrNnousr
-
sF ! orcr
-
sr orHER:
-
sF
TOTAL PROIECT COSTlressrorr ' 3 I Jorr, -'.,'-'-'-------J-f OF STORIES:
Is Any ELECTRICAL, PLUIIBII{G or iIECHTTNICAL l.,ork Being Done
to the Accessory Structure?
E YeS
E
If the pnoject
is a Relocation, is there a Natunal Gas Line on
the curnent Site?
E Yes
Is there Electrical Power on this Building?[ves IHo
SINGLEouelrx
! TouNHousE
: .'cc
DISCLAIMER: lh6r6by c6dify hai all inbrmation in ulis applacarion is corrcctand all work will comply wih he StaG AuiEing Cods and alloher applicabb StaE and local laws
rorAL AREA so Frrl/i2c(,
No
EHo
PROPERTY USE
/ OCCUPANCY:
DESCRIPTION OF WORK:
FAMI LY
FJ<Jole*c 4
snd odanances and regulalbns. Th6 NHC Er6t/olopment Services Cenbr willbe nolitud ofany changes in he Bpprcved plans and
r + ++ + +,i. {.,} {. r.,} )*,}
* *** * * ** **** *(Il'Il Jil"J ** ** ** *** * *** ** *
(FOR oFFICE UsE or{LY)
ZONE:OF F ICE R:SETBACKS: F:_ LH:- RH:
Approval:- CitY:- DATE:-
rs rHE pRopERTy LocATED rNi rlooorurrut
fl ves
Exrsrr G rr4pERvrous o ro, A7r07R$g rt
a,zr$' .r I
TOTAL AcREs DISTURBED: I Z I
I,IEhI IITTPERVIOUS AREAI,?\iI24W FT EXI5T LAND DISTURBII{G PERIiIIT:
E VTS
f] T{o
MrER:
E ,rluo do*uNrry sysrEM
! enrvere wrr-r-
[ cENTML wELL
sEuEn.
6FpuA ! crlrnel sterrc
! PRTvATE sEPTrc
! cotlllunrw svsrrtl
*** SEPARATE PER}IITS REQI'IRED FOR ELECT, I{ECH, PLBG, GAs EQIJIP, PREFABS & INSERTS ***
pAylrE
r r,rErHoD:
E .os,
E c*r.( (payABLE
ro lxcl I menrcat{ ExPREss
E nclvrsr I orscovtn
REVIs€D DATE o4l11/12
-
B:-
Corment:
FLOOD:BF E+2ft=
J*rf rrr'
r 7(?a
PHONE
f:
ztP:28.t I3-
CITY:
't Lcerse
)t
OWNER/CONTRACTOR :c{A- srcNATuRE
713'7soz
NEhI HAI{OVER COUNTY BUTLDIT'IG PERMIT
APPLICATI(N ,vPE: SIGIIIS
/ BILLBOARDS
PLTASE PRrltT CIIARLY & AilshttR AtL QlJESTloliS
'ProJect
CITYt Q)/ L/r-)/ L)G7pu STtl\/(.ZI'Pt -Q Aq) 1
accot T *:
ST| ZIP|
tr?,1{:,,i#!r
d6
flE
APPLICAIT'S MIIE:
DEVELoPER:
_
PROJECT AIDRESS:
OCCUPATIT/BI'SI]IESS tIA}tE :
PROPERTY OI|{ER'S MTE:
ALt THAT APPLY)
DESCRIPTIOI{ OF hIORK:
and ordinances and r€qulatonE. The NHC Dsvslopmenl Ssrvic€s Csnte. will b6 notf€d ofany dang€€ in th€ approv€d plans and Gp€cificalions or clrangs
contEobr inbrmatlrn. *NOTET Any work Perfom€d WO th6 P.pp.opd66
P6rnils will be in \4oladon of t!€ Nc
!!F Edg Code
qrdsuEaitlin€.lp fo
Nuf,ber
(offt"" u=.)
6bs-ra
ztPt ^?tz/oa
nane *:71!fu!+@7;y-
Ot!flER'S ADDRESS:
co{rRAcToR: P o ,-'t}zs i c
t,< larc LrcErEE t:
ADORESS rclant a --.- /,^-
PRO]ECT C$ITACT PERSO]iI:
SIGMTURE:
1
TYPE OF SrG[(S)
P+oEr:.1/O-2?3-Orog
prltl *, @AAWL)
rs-@
{n., n neearn
! rr'l-nnce
! CHANGE crJT
rrcdfrilIfrD, 9n*l S. In*.r,.*,. srGMruRE: .- -\
- (Print {a.) ----.<----=
)r****,t*********,***+*****,*:f*+*)iji:t,i:|+*:t+***+*+++*****a*++++***+**+**+t****+
Rl rnresrmtorus (Ground) l-l manouprffsrruole ElwnLi
I mo:rcrroru
E cauopv
Sign Dfuienslons:
_ X_ Total
Total ttlumber of signs on this Pnojectr
srGN 1 Helght: ?' sign Dimensions r Y'W x {' H Toa"l
3LSQ, FT. of SIgn:
SQ, FT. of sign:
TOTAL PRO]ECT COST3
$ lPoo.@ rS THE prcpERry
! ves X*
pAy Er{T riErrr.D:
I crsr I crrcr (pAyABLE
ro trc) [ aru rccouur
En./rrtl ! orxown
DO
,*r,s.r r('fr'Jr*, GD #+'[[JT,L u,-!l*,,,..\r^Tlffi "*"'(u,{t-:)-
r. A u { , 'z^e<rta::*" "":$-t'&35otiql
Wnqhhv, llc t Qtlft
5i )B^ *bbr rn1 lo"Pn rrrovctl'\Ao
Jql' qpdrf v4L ob urildi/,t is Sr y^4y\GB At^r'<e4
gro sqq'V-t\O
i***l:i+:t*+++a
flnmrI ornen
SIGN 2 Height:
SIGN 3 Height;
SIGN 4 Height:
sign Dinensions:
_
sign Dimensions:
_
qq,t^ si
X_ Total SQ. FT, of
X_ Total SQ.FT. of
LOCATED IN A FL@OPLAIN?
Sign:
sign:
lo"Pn i/noyc Y1na,"--
?d.
r,, l'15
(cHECl(
Coment:
Cilir lnpechor, Requrrec,
9l S254-090.)
EIiIAIL ADORESS:
NEI'I HANOVER COUNTY BUILDING PERI'UT
APPLICATI*I TYPE: RESIDENTIAL
PLEASE AT'ISIJER AtL qJESTIOI{S APPTICABTE TO YOUR PROJECT
'PPoject Responsibllit)fl
ppi-car. s *orc, ShrulS fi,rp, ilorrrsS
Df.
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISION:
PROPERW (t ER,s
OdI'IER, S AIDRESS :
CONTRACTOR:
ADDRESS:
PRO]ECT CO{TACT PERSO :
LICEiEE f:
crrv: $Ii lrn
AccoutT *: l1e*rfLE*@
PIONE *:
PK' E f:
! sulnoon
_ sF
! cnrrrrousr
_ sr
E morrror ro Exrsrr{G REsrDEr{cE
YOUR PROJECT:
SF OIHER:
E poor
! oecr
SFSF
SF
to the Accessory S
Gas/ Line on the
Euo
D|SCLAnI|ER thereby cedry hat al lntormation in this applicalion is conect and dl work will comply witl nle Siate Building Code and all
(FOR OfFICE U5E OILY)
ZONE :OFFICER:
Approval:- City:- DATE:- FLoOD:
REVrSto DAIE 04l11112
BF E+2ft=
,rr,
r-16-99N
PERMIT
a0tt-6 aE?
l5- /(094
APPLICATIOiI
ltumber
(OFfice Use)
DATE :
*:
ZTP..
LOT ", 5,
*. Atil'111'9hol1sr,'l@
PIONE
EXrSTI]S CO SrRt CTrOir:
! alrrnArror
! nrroverrou
I eeuennr- nrnlrns
! RELocATToN
J
Er{ col{srRucrro : lJl EREcr Et{ RESTDEICE or
*.,ILEASE CHECK A'{) AI{SI{ER BELO{ ALL TI{AT A.PPLY TO
flrrr canaer
4h5 sr ! orr camce
TOTAL PRolEcT CoSTtres"ra) t *110,000
Is Any ELE€TRICAL, PLt llBIllG or ECHA ICAL Hork Being Done
If the project
is a Relocation, is there a Natural
Is there Electrlcal Power on
this Building?[ves
OCCUPA CY:
SII{GLE FAI'IILv ! ourlrx
I rowrnouse
mRK: tJ0ul vi/^e
and odin aoces and rcgulstbns The NHC oeveloprnent Sb rvi:ea Centsr wlI b€ noliffed of any chsuos in ihe appro lred pEr s 8nd specificatbns or changa in cootracbr or
co.rr*br hbrmallon. '-NOTE:Any worft Perbnned w/O te ApplopflaE Pemitswlll be in yolatbn of llle NC StaE abg Codrdid gfbiecl b Fin6s Lip To SsOO.OC-
ordirER/coilrRAcro*,
cra,q Sttug(9 src AruRE: ?.7 = ---
- (Prlnt tra.€)
-
:*:i:**,r*,r*,r*+'r'i:l++++++++*+*++tIii,iiiE{+++********,*:**},**,},**,*+,*+,r**+4**+d(i***+++++:}+:i+,*,}*,*,i
IS THE PROPERW LOCATED II{ A FLOODPLAI ?
l-l YEs EI TO I
Exrsrr{G ri?ERvrorrs anro, l,'ll4 sc rr rorAl AcREs DrsruRBED:
tl3
r
Errr ri?ERvrqrs meat d,'1
11 sO rr Exrsr LAID DrsruRBrNG PER[rr:
l-l ves
I7l rrc
narER:
S crrun
! colrluNrry svsrrr',l
fl pRrvArE wELL
! celrRnl uell
SEIJER:
f, crnra
! CEi{TRAL sEprrc
! nnrvarr sEPTrc
E co}ll'uNrrY sYsrEM
*!T* SEPAMTE PER}IITS REQUIRED FOR ELECT, IIECH, .PLBG, CAS EQiJIP, PREFABS & IiISERTS
'i**
pAyirExr
[ETHoo:
Eqsr E crecK (pAya8LE
m *mc) Egru- occqnt E nclvrsr I orxovrn
!i,i**f +****'lrt.i****+++:i:t:1.+,1.+t:itt**:t*,t,**,**'*,*,*!t,**,ii..t+,t+'t:i+:i+*+:t,t :f )* ,*
* *,* * *,* *,t * *,* *,t,i 'l rt*,|* **,**
**
s, Fl **., lo 4 sF
i*o*., tr5--
TorAL HEATED sq fi, b,011 rorAL sQ Fr UNDER R@F: 1,b0t rorAL AREA sg et:9,b0?
f OF STORIES 3
&
MOPERTY IJSE
/
DESCRIPTIOiI OF
JUN
t9 20t5
Coflment :
Ei'IAIL ATDRESS:
PLEASE PRIXT CLEAXI.Y
& AltslsR ALL QUrSTIOils
APPLICAI{T'S llAI€:
DEVELOPER:
NE!,T HAT,IOVER COUNTY BUILDING PERMIT
APFLIcArxw,t IlrPF: 516!{5
/ BILLBOARDS
esponsib.
fnS
crw:
TICEI{58
DArE,hl&15
*--zw*4t-'4
o,4\>14'1-- 9,>5"'i
sr,Szrni
2W3'
q-''* ur"1r;;rr*]S{f L
pi*on-d
o' fl [0: 3f] IJQ\
I
,non* o,Qlo:3-s7-41Vo
. P&
*143\'9
/'rt {s ls,.aALN'.
ffi*o
PRorEcr aooirisr
Aqld..t-
*,^-_r_ -
OCCUPAilT/BUSINESS }IAI{E :
PROPERTY 0l,lNER'S l{AFlE: L-
oh,ilf;n,s ADORESS:
$!
CITYI
rl$IL Ao0nrss:t0l1*-" . "
pnolgcr cor{TAcT pERSOfi ;
(CHECK
ALL TnAT APPLY)
DISCl,AlltER: I tsEty co.{y thal al ln{rmathn in t}rir epplealkn io corat and all rcrl will comdy witl lho qo!6 and all othar gale ard tacal l5B
ar{ o.dtnaoc€s snd roluldtonr, fhe NHC
Dwohpmfilt Sarvi:*E Csr*ff wil} be nt'tilt€d ot aoy ctrangos in
lho rpocirlcstlms orkt canfactlr or
cmrcttr hl(rm*,r. *NOTE: Any
Wrrt Perfilm..l wlo th. Af0ro[$k(a Pormib wifl b4 in VL*edon c, fB NCand Up To
ot{,NER/CO}iTRACTOR:srGr{ATuRt }
*,r*** *t*,1*** +**** ****,tr**1.+**!t****tf t**x**** t************ri* ,ff i ** *++*i*** *
*'l *'*************
TYPE OF SI6N(S)
A
D{rneesrANDrNG (6round)
f"l s*xar"r
L-- j nooe
J--j orNrn
t
T-l
of
l4AnQUEE
tdALL
Signs on
{'
f-*l pnotrcrror't
il cnxopv
,.. I
srGN 1 Height
, . I /*.-*.-* 51gn Oimenslons I' ""t.'v
SI6N 2 Heighti .-- -_ _..
-, 51gn Dimensions:
5I6N 3 Helght: Sign Dimenslons:
Tnta} f{umher
Ithis ProJect: I
*
_')
ll"
x
SIGll 4 Height: Sign ginensions:
TOTAL PEOJECT
COST:
$qNOO. CD 15 THE
'^:::,.::T....3.T...X-T::.::":::.:::']...I::::::.::::::,-..5:::::....:.'"'*',*
r-'
'E,ARATE
pE R't r rs R Esrrq FD r* .,- r., f,ft {frmgelien
kmgf$, g#l5il,ffffi -"
f,mctm
mtr
=,I\9
crl
l\te,
L5
.-_._ _ xx "_-_"--__
PROPERTY LOCATED IN
Total 5Q
Total sQ.FT. of Sign;
Total SQ.FT. of, Sign:
Total SQ.FT"
of 51gn: -
A FLooDPLAtul
ffi ves
hf{aL4L
rfioHr
lf 'r1ztr
APPLICATIOI{
llumber
(gfflce Use)
OFF
Comment:PTRilIT FEEI $
...-.-'..
.t
ffi,,
(0$rTnAcr0Rl
A008fiss:
IS SIGN(S) Ol'l ffi OFF PREilISES?
ffi cx*
.3Q ( - cp493
15-1703NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
NAItlE: McKee Homes LLC
PROIECT ADDRESS: 1212 :lancruar
DriveCITY: wilminqton
SUBDIVISION: lJhanover Reserve BLOCK #:
APPLICANT' S
DEVELOPER:
APPLICATION
Number
(Office Use)
DATE:
22 tune 15
PHONE #:
ZTPi 2B4II
LOT #: 19
PROPERTY OhINER'S NAIIIE: McKee Homes LLC
CITY: Fayettevrlle
PHONE
ST: NC ZTPi 2830I
sT: r'rc ZTPZ 28307
#: 910-475-7100
PHONE
#: 9t9-349-381s
fiNER' S ADDRESS: 101 Hav Sr
CONTRACTOR: GML Development rnc
ADDRESS: 101 Hay sr
EMAIL ADDRESS! wbvnumLamckeehomesnc. com
LICENSE #: 63910
CITY: Fayettevill-e
EXTSTTNG CONSTRUCTTOT:
! ALTERATTON
! neruOVnrrOru
! Crruennl REPATRS
! nelOCarrOru
NEI,,I CONSTRUCTION.
I TNTCT NEL{ RESIDENCE Or ! NOOTTTON TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER
BELO}I
SF
SF
ALL THAT APPLY TO YOUR PROJECT:
GRE ENHOUS E
tr
tr
TOTAL HEATED SQ FT:
17e3 TOTAL SQ FT
TOTAL PROIECT COSTIt-esst-ot; i $ r:rqqo
Is Any ELECTRICAL, PLUI{BING or MECHANICAL Work Being
If the project
is a Relocation, is there a Natunal Gas Line on the Current
Site? fl ves E *o
rs thene Electrical Powen on this Building?
flves [Tl ruo
pRopERTy usE
/ occupANCy:
I srrucr-r FAMTLY
! ouelex
E rowruHousr
DESCRIPTION OF WORK: Consl-ruct residential single family home from dirt to finished home.
and ordinances and regulations. The NHC Development Services Cenbr will be notified
of any changes in he approved plans and specifications or change in
contractor or
confacbr information. ..-NOTE: Any Work Performed W/O he Appropriate Permits will be in Violation of the NC State Bldg Code and Sub,ect to Fines Up To
$500.00'-.
OI^INER/CONTRACTOR: wirriam F. Bvnum SIGNATURE: wiliamBynum
(Pnint Name)***.**{.*r.**********1.r.**,t(*r(*r(***,*r(******X*{(********r.*,1.***********{<**X**X**************r(*r.*
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
F] VES EI ruO
wATERT
I creun
! coNtuururrY sYSTEM
I nnrvnrr we ll ! cerurnal wELL
SEWER:
I crrun
! crrurnnr- SEPTTC
! enrvnrE sEPTrc
E coMtluNrrY SYSTEM
*{.* SEPARATE PERI{ITS REQUIRED FOR ELECT, IVIECH, PLBG, GAS EQUIP, PREFABS & INSERTS ***
pAyMENr rrrErHoD:
fl casx
E cxecr (pAvABLE ro NHc)
[ ar,renrcnN ExPREss
EI mclvrsr
fi orscoven
* * * * * * * * * J. * * * * * * * t * * * * * r( * * * * * r( ,k
* * * {. * r( * * * * ,1. ,t
* r< * * * * * * * * * * * * * * * * * X * X * * * * 1' t( {< r( X r< r< * * l' * * * * * * X * ,(
REVISED DAIE O4/LL/!2
LH:_ RH:_ B:-
SF
SFSF
SFSFPOOL
DECK
UNDER ROOF: 233:- TOTAL AREA SQ
# OF STORIES: 2
FT: z:37
Done to the Accessory
structurel I Ves E to
EXISTING IMPERVIOUS AREA: SQ FT
NEW IMPERVIOUS AREA: SQ FT
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBINGPERMTT:
Fl ves
lEl ruo
ZONE:OF FICER:
(F0R 0FFTCE USE ol'lLY)
SETBACKS: F:
PROIECT CONTACT PERSON: Kennv Jones
f]nrr GARAGE 410
! orr GARAGEsF
E PoRcH 134 sF
SUNROOM
I sronncE sHED
OTHER:
tr
tr
Appnoval:Citv: DATE:F LOOD :BFE+2ft=
RECEIVED JUN 16 ?015
APPLICAIIOtr
l{umbe
r
iotfl.u ur")
1\ \)
:ilH::%JB !,*:ft1gtill r[ \u,tnl,r' n5].'ncoNrRAcroR:.
lljt\rrt1 \fiy|fl/nti oF Wtllit
ADDRESS:
4I( tjtfClr1cit'U. t) -tV(
rrurrL AoDREss; Salt.! trrr tSCtV, IU,rvl
ADDRESS:
42ii Ud,fClr*cil'!1 r) rv'f
rrurrL AoDREss;
salt.l{6 tsctv,Lu,$'
pRolEcr col'trAcr pERsof{, -{l.r th cr'r'lri
[9 PeZ l5'-ta3'7
2olf-Az1 Q
NEW HANOVER COUNTY BUILDING PERMTT
APqLICATION rvpr: SfGNS
/ BILLBOARDS
prEASE PErr{T CrEA&LY & Ailsr,,tER ALL QUESrr{lFs
crrv' \\,\t"\ \rt tf\f n
rrcENsE o' 2S18b-Sp-FS
crw:\f\1lvfl t
ngtr*t
'H'NE
crrv, \J\|1.r,r.Sio^rE
r:
ite,
fffl*$
ofiro-a/L?432
sr: j\(zrP, 7K4aV
tr,NLarZf4l?*
o,
q [0^
31714t1
o'Qlc-
3s7- 4l\cD
DEVELOPER:
pRorEcr ADDRESs:
Si,c,
Cci|uilito Bol S(
OCCUPANT/BUSITiESS NAI,IE:
'
pRoprnry or,,,irrR,s non.,lyffi\i C*
tk[/"r t,,',
or.,NER,s ADoRESS:5 ] U
[irivilil rl^
ki !.fiv6
th (ft,rrdirnlFo
Stalo and loc6l uH,
in
contraclor or
1s00 00"'
t.
YJ:REESTANDING (Ground) , MRQUEEPRO]
E(TION
CANOPY
: ROOF
OTHTfl, SHINGLE I1IALL
* t5' ,o.", sQ.rr. or
X Tctal SQ,FT. of
X Total sQ.(T . af
X Total SQ.FT.
of
(t<t
k {fr ,"
p,et, *r|r*
,r'rn, 3b P ?.'.,
5ign:
Sign:
Sign:
i--. ves DL *o
SICN 1 l{eight I
sI6N 2 Height:
SIGtt 3 Height:
SI6N 4 Height:
TOTAL PRO]ECT
COST: $CIOL\ {},OD* T}.IE PROPERTY LOCATED IN A FLOOOPLAIN}
Total Number
of Signs on this Project, l**_-
Sign Dinrensions: g '
SIgn Dlmensions:
Sign Di.menslons:
Sign Dimensions:
zorur:
Jl! oFFrcER:
# , l',Trfi',f;i'll'li, ..r, ,fu **,
,i- ;1"'#* r/r0r12
Approval:..-*.-.__-.-
clty: _"[gf'r:""_ oarcr5;[Uf,.(* rlooo, *]a- BFE+2ft=
corw,unt,fiZd
74,o.*u ?ra^< {2,* 66,oa iC &*i oJlng FEE: g-
i*'SEpARA'r[ P{RliITS EEQI.JInFD FfJfi
ELtCI, ,r4[(H, PLE{i., G]\S FQi.trp, r,fiFFtlBS
& lr,tsrfTs *r*
PAYltEilr
rrrHoo: il cAsH $( cxrcx (PAYABLE
ro ilHc) i-.-'i arrn:caN ExpREss
,,*'lnclvrsl f: orscovrn
a * * * *t**:k * *
*.** f *
* * * * *+
i * * * * * t* x* **.* * *+ ** * r n** *
** *
* + r *** *
** * * * * * * *{ * * * } * )t + * +
** t* +t *
***r +*
\ftd, l*,', i\E ?*,o-, {<,* fiu* &. Ss,€. t>m*,, 71da
DISCLAIMER; I ber.cby certil, lhai *ll i[romf,linn in this afrplicitir)o i6 conEl snd nll war& v/ill
f,lnily wilh lho Statri
, * *
*r * i *,t, * a *
* *
* * t *
*
"
* * t * * * x * !i* *
* *rt * * *
f **,i *** * ** * * ** * * * * + ** * *
TYpE OF Sr6N(5)
aad ,ll otirei
* * * * * + + *
+* *, t * tr
)t* +*+
htf,?zq?
{(- 1"2[
arprrcarlou
I'lumber
(office Use)
aarc,. -(q/Zy'/ rF
PnoNE sr . {gl-Zzioctwt ht,lrr\fi?rhar r
/V4- ztpt ?8,/el
LOT
f:
PnoNE s:
fu nf rc:
5T:folztP':
Z*lO
I
ACCOUNT
S:
ctlYt (qhrvnfib? srt
Eni. -&!of
Pr',roNE
s: qOZ-n1O
PI0NE
s: 523
-:4ry
5F
Ll PoRCH
-.
5F
I sronecr sHED
_ sF
OTHER: SF
UNoER
RAOF:
/-bfr TOTAL AREA SQ Fr: /tQD
S OF
STORIES: { _
ilO ct/,
NEI^I HANOVER COUNTY BUILDING PERMIT
APPLIATION
TYPI: RESIDENTIAL
PL€ASE AIISUER
ALL Q{JESTIONS APPLICABLE TO YOUR PRO)ECT
APPLICANT,S MI.IE:
DEVELOPER:
PRO]ECf ADDRESS:
SUBDIVISION:
PROPERW OhINER'5 M}IE:
ADDRESS;
o}!{ER's ADDRESS:
4m S. rfit ,<lru* ctryt l,ut,, ,**,o*, fi#tfoffeagl--
EMIL ADDRESS:fn0-+ Cxrr.a.f
PRO]ECT COHT
aeN
E.\
-*
<3
+
<
a,)
+
-.--)r-qv
'-1d
s)
+
Exrsrrlrc coxsrRucrrox:
fJ nlrrRnrtox
ffi*rotro* [Jerruenal REpArRs
fJ nrlocalon
NEt^l corusrRucrroN:
f] EREcT NEIAJ
REsTDENcE
o"
I aoorrror To Exrsrrnc REsTDENcE
r.PLEASE CHECX Ar'10 Al,lSllER EEL0I,,
ALL TtlAT APPTY
T0 YOtR PROIECT:
fJrrr 6AM6E
-
sF fJ orr GARAGE
fJsuHnoor,r
-sr
fJ PooL
_ sF
I cnernxousE
----
sF f, orcr
ToTAL HEATED SQ FTz
/(aOO ToTAL sQ FT
TOTAL PROJECT C0ST1r-essr-ou
: $ /F?rm-
Is Any ELECTRICAL, PLu,{8filo
or }IECHA}'|ICAL
idork Being Done
to the accessony Structuret
fl Ves El UoIf the pnoJect
is a Rel.ocation,
is there a Natural Gas Line on the Curnent Site?
fl ves El ruo
=,Is there Electrical Power
on this Buildj.nglflves ffiruo . trt
pRopERw usE
/ occupAr,rcy:
ffi srNGrE FAr"uLy
f ouerex
[ **yo5 c*a-v"orrl-e4uSflge6) g
DESCRIPTToN 0F [J0RK:
O&tO
/n.trAbn r Une rtEU
6Jrc HVrc.,
hnkrt'on, &yur*t C
. e,;? m
f,try,trqqahf,, .wn4!qt,,4 h,r.{ i@rpegry) E
oISCLAIMER: I helcby csjtify hat 8ll inbrm 8(ion ln
his spplic8ion is coffect and a{ rJo* wi[ comply wih he Stare Building Code End su ot]cr Eppiicable S€E 8nd locat
larys C
and ordinancgs rnd feouladof,s. The NHC Devekromenl S.rui.a( (:ehbr will hc h6df6d ^r '^. .h6.^.. i^ aa .^^,^,8, =and ordinrnces 8nd regulado0s The NHC Devebpment s€ruicss cener will be no{fied ofany chan06s in
h€ sppro\.eo plans rno rgacif*lions or chsnge in
conr.cbrq -
conuEclrr hbrma$on. "1VOTE: Any Work Perlomcd w/O tte Appropriate
PlrmiB wiil be in
Vplauon ot the NC
SBE Btdg Codo Bod
Subiccl rc f 391Up fo
SSOO.OO.. a\9rEilnrs hxr ue n vpeue| er ne NL
)Ec opg ,-oqo Bo0 SuD,ccl tc
Pq|up
To
$500.00
CJr
otlNER/coNTMCTOR: *ta ' P.
Tp*t< 5IGNATURE
| %A4,{ ? U -
hr
rs THE pRopERTy LoCATED
rN A FL@OPLArN?
r:'l yEs EI uo
oIsTURBING pERilrr: l-l ves
tr] Hof;
MTER:
@uo fl comuururrv
sysrEm fJenrvare wer-l
I crHruu well f;
sEr.rER:ScFpuA
f] crurnnl sEprrc
fl rnrvare sEprrc
fJ commr.rurw sysrEM E.T. SEPARAT.E
PERNTTS REQI'IRED FOR
ELECT, MECH,
PLB6, GAS EqUIP, PR€FAB5
& II{5ERTS
"' 3*Tr-i:'lTi..,..H.'i'I...H.:11T*[1'f.':.ri[,..H:i::f.?1ii...F,xr.:{..*:.::..,:::,
3
,r*,, {2-(oFFrcER:
,
*v ,:'}ilI:J: T:j- ,n,
,l aa:-s4-,,
/ "*"0 oo"'0"'''#
.o*"n., ffi=?lo
SF
EXISTIIJG IMPERVIOTS
AREA: --5Q FT
NEl.l IMPERVTOUS
AREA:
_- SQ FT
TOTAL ACRES
EXIST LAND
DISTUREED:f,rn
"Project Responsibllitl/'
i) r4O
RSON:
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATIaN
nPE: RESTDENTIAL
PLEASE ANSWER
ALL QUESTIONS APPLTCABLE TO YOUR PRO]ECT
BLOCK
fi:
LICEIIISE
#:
CITY:,
zDt,;gj*f
nFffiiu
Numben
(oFfice Use)
APPLTCANTJS NAITIE:
DEVELOPER:
PRO]ECT ADDR
SUBDflISTON:
\,
PROPERW OrIIIER'S MITIIE:
OhINER'S ADDRESS:
CONTMCTOR:
ADDRESS:
ExrsrrN6 coNsrRucrror,r,
E ALTERATToN
fl neuovarroru fleerurnal REpArRs
I nrlocarrou
NEhl collsrRUCTroN:
[J rnrcr NEht
REsrDEIrce
or
I ADDrrroN To Exrsrrr{G REsTDENcE
**PLEASE cHEcr AItrD
ANSIER BELohr
ALL TlUtr
Apply
ro youR pROf,ECT:
Elerr GAMGE
4Ab sF [.l opr GARAGF <r
E o, GAMGE _{-(o 5_ rt E oer GAM6E
-
,,
/ro*., lrr'1 srff sulunoou ' ,,
fl eneer'rHousE
_ sF
I eoor-
_ sF
fl sronaee snro SF
floecr
_ sF oTHER:SF
TOTAL HEATED SQ FT:5,0b1 rorAl sQ Fr ,NDER
RooF: q,bT, rorAL AREA
sQ
rrr1,b05
TOTAL PROIECT C0STsssrog
z
$ tLO.tr(-# OF.STORIES:
,'
DESCRIPTION OF hORK:
h on
Ststs and local laivs
in
contractrr or
tS To
$500.0C*
***** *+ x*
*i ******** ***,f***********:f ** +:F*********:F*'F*****rF***********rF** **
NEW
IltPERVrous nnea:
A{14 so Fr
Exlsr LAND DTSTURBTNG pERfirT: Fl yEs EI ruO
I^,ATER:
[l creua
I coruu,rurvrry
sysrEM
I enrvare
well I crrurnal welu
5EWER:
B crnun
I cerurnal
sEprrc
I enrvarr sEprrc
I commururry sysrEM
+++ SEPBIE PERIIIITS REQUIRED FOR
ELECT, ITIECH,
PLBG, GAS
EQUIP, PREFABS
& TNSERTS *++
pAymElrr
trErHoD:
E clsn
I cnrcr (eAvABLE
ro *r.) ffi rr.i o..ou*]i-
' -;;;-r^- '-
fr1rr.ou=*****************:f+***********:F +** **** ******** *:F'i******+* *:F***i.**********+* ****:i******* **
ZONE:OFFICER:
(FOR OFFICE
UsE ONLY)
SETBACKS:
F:_ LH: RH:
I5 THE PROPERry LOCATED
IN A FLOODPLAIN?
tr:I YES
EXISTING IT4PERVIOUS
ANEA: O,'II1 Sq
rr
Appnoval:
Comment:
I .zl ttO
TOTAL ACRES
DISTURBED: 'lS
RE\i'I5ED DATE
O4IUIrz
B:
![161=
N
PERMIT
FEE:
$-
'Project Responsibilitf
D^rE: blzqllS
PHoNE
#:a]o _fq
sr: lYzrn:
pRolECr coNrAcr pERsoN: 5f ao'i ,NrchOi?g,ri
_ City: DATE: FL00D:
tbu)
PHONE
#:
5T:
ACCOUNT
#:
PHONE
#:EI'4AIL ADDRESS:
Is Any ELECTRICAL, PLUTiIBING
or IlEcHAtttIcAL Work
Belng Done
to the Accessony
Structure? [ Ves E ,orf the project is a Relocation, i.s
there a Natural Gas
Line on
the current
sitel ffi ves E ,ofs there
Electrical power on
this Building?
[ Ves
El uo
PRoPERw usE
/ occuPerrrcv:
BsrN.lE FAmILy Ioue1o<
ff rou,rgouse nEGffi
OWNER/CONTMCTOR:
aorS-baS
15-L704NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE : RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Proj ect Responsibility"
NAItlE: McKee Homes LLC
PROIECT ADDRESSi 1256 sanct.uarv DriveCITY: wilminqton
SUBDIVISION: Hanover Reserve BLOCK #:
APPLICATION
Number
(Office Use)
DATE: 22 "rune t 5
DEVELOPER:
PROPERTY
OWNER'S NAMEI McKee Homes LLC
PHONE
#:
ZTPI 214tl
LOT #: 83
PHONE #:910-475-7100
CITY: Favetteville
ST:qZTP|ru
ST: NC ZTP..
ru
LICENSE #: (,3?1C
CITY: Fayetteville
PHONE
*2 9to-4i5-7100
PHONE #: 919-349-381s
! eool
_ sF
! sronncE sHED,SF
SFSF OTHER:
FT UNDER ROOF: 3038 TOTAL AREA SQ FT: :o:a
# OF STORIES: 3
OWNER'S ADDRESS: 101 Hay Sr
CONTRACTOR: GML Devefopment rnc
ADDRESS:
101 Hay Sr
EMAIL ADDRESS! wbvnum@mckeehomesnc.com
PROIECT CONTACT PERSON: Kennv Jones
EXTSTTNG CONSTRUCTTOTU:
! ALTERATTON
! neruOVarrOru
! Ceruenal REPATRS
! nerOCArrOru
NEI,I CONSTRUCTION:
@ CNCCT NEhJ RESIDENCE Or
E AOOTTTON TO EXISTING RESIDENCE
,.'*PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR
I nrr GARAGE 4a2 sF
E oer GARAGE
PRorECr: rrTg __A!a-
sF EPoRcH ,o: i '''(r
PERMTT:
lI vrs
l'Il r,ro
(FOR OFFICE U5E ONLY)
SETBACKS: F:
REVISED OATE 04/LL/12
BFE+2ft=
I surrrnoor'r
_ sF
! cnrrruHousr SF
! oecr
TOTAL HEATED SQ FT z
2354 TOTAL SQ
TOTAL PROIECT COST(resslo0 ! $ rsrrao
Is Any ELECTRICAL, PLUI.IBING or ITIECHAITIICAL Work Being Done to the Accessory Structure? fl V"s E *o
If the pnoject
is a Relocation, is thene a Natural Gas Line on the Cunnent Site? [ V"t El to
rs there Electnical Power on this Building?
lllv"t Eto
pRopERry usE
/ occuPANCY:
I srrucr-r FAMTLY
f] ouer-rx
E rowruHousr
DESCRIPTION OF WORK: Construct residential sinqfe family home from dirt to finished home,
and ordinances and regulations. The NHC Development Services Center will be notlled of any changes in the approved plans and specifications or change in contractor or
contactcr informatjon. -".NOTE: Any Work Performed W/O he Appropriate Permits will be in Violation of the NC State Bldg Code and Subject tc Fines Up To $500.00.--
OWNER/CONTRACTOR: wiftiam F. Bynuni SIGNATURE: William Bynum
(Print Name)********x******r(***r(*r.r<*r.xx'*x**i.****x*x*******,k*r.***********rt<**************1.************
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
J-I VCS
EXISTING IMPERVIOUS AREA:
NEW IIT,IPERVIOUS AREA:
SQ FT
sQ Fr
TOTAL
EXIST
NO
ACRES DISTURBED:
LAND DISTURBING
wATER:
I creua
f] cor"ruururry sysrEM
! enrvnrr well
! cerurnal wELL
sEwER:
I creun
! crrurnal sEpTrc
! enrvnrE sEprrc
I commururrY sYSTEM
*** SEPARATE PERJVIITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS *'I'*
I clsx
E orecx (eAvABLE
ro NHc)
fl amenrcaN ExpREss
E mczrrsr
E orscorenPAYMENT iIETHOD:
t
*****r<************r.,kr.**r<****r(X***{<******{.*:t****r.X**************{<**{.Xr<***r.X**r.****{<{<rc*{.Xr.
ZONE:
_ OFFICER:
Appnoval:- CitY:DATE:F LOOD:
LH : RH: B:
1-olr-cozst
15- t
*: >,;.7)prz
,-:. ']\
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oATE: oEks/?*,1s
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FIffi{E S:
rIP:2g4or
t! !1t-5Qq-{4{?_
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fl*seE s:
FimtrS $: 910-t*E-4trf?
sr.&wrslota:BLO(X t: UIT tr
Flrffi€PI0Ft*TY Q3ffSft'S l{ll{t: tsic irill
OllEn'S AOBESS: ls?l Parne:le or
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aITY: !l:s}nsSs!l
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*IP{.EISE CTT({ iID *T8f* SGLOT ALL
$ltT TP'LY TO
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TUTAL NGITET SQ FT: TSrrL tQ rT
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CS'Tr*ro, 1/fill:Ci
T0TAI_ A8S{ 5Q FT:
rs
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r ilEEHltr'lEI[ Urt eta6 Ooe to 1tk tc{srrortr
stftctr$?t Cl V* t3 ft
If the pr.oject
ls a Relscatixr, is thei.e a ltatural. Sa: Line sr the Curr€rrt $lte ?
If va* ffil fo
rs there Electrical Por.er on
this EuitdtnglFlves
tl*o hiurtl,o,"i Ya-Li.*
pHFfsry lrE
/ OCApr,s: ffi SIXO* FAlrrLY
f] net.E<
[ rrsrusr 4? , , ,1iC,
OtSCnIpTLm OF l0nf: Eerair hrick l{alI & Balhr(}mr hiL by va&tsralqfL
DH,UIAIIIF| tftsrEaf fia{Iry &Sd hb.t{r*ixlr: h tis.aEplr.fon irc{ned{4rrd
rf d.t{,ilea.hdf*flt th6 Eee Rffits Ci$tt'd erofs ry?fc'* $**b;}d hc$ iilrt
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trs lrrr pnorutrv tsc*rrr r* e :Lowprxrr lXl vts CJ m t^1t"'fi;t, tz\;ul6 P,zt'n**,J*o{r+tr,.l.v
EXISTII6 l,fs*wflE r*ft: _ 5Q FT
rEx :#sx(firtrx
t*E[:
_ sQ rr
TOTAL Af*:S I}ISTI.K3[D:
EXIgr LArf nlsnnalr.o Pgt'trr:
f! ves
[J no
ffi;ffi:;x H :m:.ffi-?#H*: E mr**s1-ggn rcruffi
'yff ..,f; m*"S-yr,lffi:r.n..mmm:.""fl m,.,Hi:tr"!
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34/lllrl
,aor, K*lL' oFFxcER:
. "U&\ srrBAcxs: F:"(iJ, tH,rU.L Rn: .,f
ii- e, rJF
Approvat;-eity: Ltilti'i *ru.ul&lis Flffio: AEld l' ' ,, sFE+?ri*
c.*'rt $Wffir, *t,t'-'t$, *fl,'rrlSiiln"*" r.kv&ii*r:.fi/ki {ddetrr FEE: 1.---i-..:-"-. ?:..:-f /03r"1 p*ffrrso, q1$t5{-00{ft
;**xuhl}@t@
SIGSATI.JSI :
* Nlo PL,4NIS t
NEW HANOVER COUNTV BUILDING
APPLICATIottt rYPE; RESIDENTIAL
p€"(5-l+>+
PERMTT
lAtf{zK3
APPLICATION
Number
(Office Use)
PLEASE ANSWER ALL QUESTIONS APPLICABIE TO YOUR PROJECT
APPLICANT,S
DEVELOPER:
"Proj ect ResponsibilitY"
PRO]ECT ADDRESS
SUBDIVISTON:
PROPERTY
OtilNER' S
O{NER,S
ADDRESS:
..4'
r*l
PRO]ECT CONTACT PERSON:
1CT- IN\\TDX PHONE f:
PHONE
tQ n0r,l hc\fiouerr
coNrRAcroR'
$QU4 LICENSE #:
CITY:
SF
SF OTHER:
# OF STORIES:
Is Any ELECTRICAL, PLUmBING or IiIECHAI{ICAL Work Being Done tothe Accessory
If the pnoject
is a Relocation, is thene a Natunal GaLine on the
No
sr:(\i, ,rr,'I'VYN
EXT5TTNG CONSTRUCTTOru:
f] ALTERATTON K*r*orOrro* ! crNrnnr- REPATRS
I nruocnrroru
NEht CONSTRUCTToN:
I eneCr NEW RESIDENCE or
! aoOrrroN To EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
narr GARAGE sF
fl oer GARAGE sF
E PoRcH
-sF
lsurunooN
-sF
n poor-
fl sronace sHED
-
sF
n cRrrruHouse sF
florcr
rorAL HEATED sQ Fr:
l0c0 rorAL sQ Fr SNDER RooF:
tD0o
TOTAL PRolEcT CoST(t-essr-or) | $ f/t @0
Is there Electrical Power on this Building?
ffi V"s
PROPERW USE
/
DESCRIPTION OF
and ordinances and regulations. The NHC Development Services Center will be nolified of any changes in he and speciflcations or change in conlractor or
upT
SIGNATURE
*r*{.,llr,****'r****,r.*r<**,r.**,r****(iit{llilt}***l******,tr*,t i.,r***r<******i*****r"f *x't(t*'i*{'{'r'*{(+***
cFpuA
E cor,rqur'rrrY sYsrEM
f] enrvnre we ll I cerurnal well
5EI,{ER:cFpUA
ft crurnal SEpTIc
I enrvare SEPTIC
I commururrY SYSTEM
# r*'i SEPARATE pERt,trrs REQUTRED FoR ELEcr, MtcH, pLBG, GAs Eeurp, PREFAB5 & rNsERTs +r'i*
Ef,l Fr ;'q tt.; t- J*";
iiIisEE cs --"-;
pAyFrENr
METH9D;
fl cnsr
E cxecx (nAvABLE
ro NHc)
fi amrnrcnr,r ExpREss
fl mc/vrsr ffi orscor.*
******r.rirF***r(********rk*rl.**r.)ir.{.************i(***+******{.***,F*{.*{.**,F*,k**,i,tr,{.*r(**'t"I'F*'l'x'*x't:l':{<*
(FOR OFFICE USE ONLY)
SETBACKS: F:ZONE:
-
OFFICER:
TOTAL AREA
SF
SQ FT:
ICUtj
Structure
Cunnent
rflves M*o,.
site?
Et") N, r"
%
Slr"-ffiiS
r#
('s
t$Bk*s:,
EB THTC\lLOCATED rN A FLOODPLATN?
ff VeS
AREA: SQ FT
AREA: SQ FT
NO
ACRES DISTURBED:
LAND DISTURBING
E*(*o({
r&rrlz.\
TOTAL
EXIST PERrrlrr:
III vrs
ffi no
REVTSED OATE O4/rtl.t2
TOhJNHOUSE
"'NOTE: Any Wo* Performed Wio llhe AppropriaE
Approval: CitY:- DATE:- FL00D:
LH :_ RH:_ B:
ffi6= QJL^
,otr,L0\ft\tt.-__T__
ADDRESS:
EItllAIL ADDRESS:
CITY:
PHONE #: i
PHONE #:
-ru#:_
sr: oLzrp, lk4lL
cors-&aSS
15-1705
mpr--rcarron
Number
(Office Use)
DATE:
:: June 15
NEW HANOVER
COUNTY BUILDING PERMIT
APPLICATION TYPE : RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPL]CABLE TO YOUR PRO]ECT
"Proj ect Responsibility"
MCKee Homes LLC
PROIECT ADDRESS: 7252 Sanctuary Drive
CITY: wilminqton
SUBDIVISION: Hanover Reserve BLOCK #:
APPLICANT'
S NAIT1E :
DEVELOPER:PHONE f:
ZTPI 284tI
PROPERTY OhINER'S ttrlAltlE: McKee Homes LLC PHONE
LOT #: 84
#:..l@
ST: Nc ZTP2 283a1
ST: t',tc
ZIP: 28301
#: 9to-4i 5-1 toa
919-349-3815
ohlNER'S ADDRESS: lo1 Hav Sr
CONTRACTOR: GML Development rnc
ADDRESS:
101 Hay Sr
EMAIL ADDRESS! wbvnumGmckeehomesnc. com
CITY: Fayetteville
LICENSE #: 6391A
CITY: Fayetteville
PROIECT CONTACT PERSON: Kenny Jones
PHONE
PHONE
YOUR PRO]ECT:
SF
E PoRCH
LSF
I eoor-
! oecr
-SF
SF
TOTAL AREA
SQ FT: zgto
EXTSTTNG CONSTRUCTTOru:
I ALTERATTON
! neruOVarrOru
[ CeruenAl REPATRS
! nelOCArrOru
NEh' CONSTRUCTTON:
@ enrCr NEW RESTDENCE or ! nOOrrrON TO EXTSTTNG RESTDENCE
**PLEASE CHECK AND ANSWERBELOW ALL THAT APPLY TO
sF E orr GARAGE
TOTAL HEATED SQ FT | 22s3 TOTAL SQ
TOTAL PROIECT CoSTlresst-ot1 i $148r40
SF
! sronncE sHED
SF OTHER:
FT UNDER ROOF: zslo
# OF STORIES: 3
Is Any ELECTRICAL, PLUITTBING
or MECHAITIICAL Work Being Done to the Accessory Structur e?
[ Ves E ruo
If the pnoject
is a Relocation,
is thene a Natunal Gas Line on the Current
Site? [ V"r E to
Is there Electrical Power
on this Building?
l]] y"r ffi ,o
PROPERTY USE
/ OCCUPANCY:
I SrruClE FAMTLY
! OUer-rX
! TOWTHOUSE
DESCRIPTION OF hIORK: Construct residential sj-ng1e family home from dirt to finished home.
and ordinances and regulations. The NHC Development Services Center will be notfied of any changes in tre approved plans and specificalions or change in contractor or
contactor information. --.NOTE:AnyWork Performed W/O he Appropriate Permitswill be in Violation of the NC State Bldg Code and Subject tc Fines Up To $500.00...
OWNER/CONTRACTOR:
witriam
F. BynumSIGNATURE : wiltiam Bynum
*,F*,**************,f*********(iitlllil"]******x*******x***,r*,r***,f*+*****************{<*i(1(*{<*ji.{<
rs rHE pRopERry LocArED rN A FLooDPLATN?
JTI yes El ruo
EXISTING IilPERVIOUS AREA: SQ FT
NEW IMPERVIOUS AREA:
! nrr GARAGE 420
lsunnoom _sF
I cnerruHousE
_ sF
sQ FT
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBINGPERmrr:
Jal vrs
lE r,ro
(FOR OFFICE USE ONLY)
SETBACKS: F:
REVISED OAIE 04/ 1,1,/ 12
wArERt
I creun
f] comNururry
sysrEM
! enrvarr we ll f] cerurnal wELL
sEr^rER:
I creun
I crrurnal sEprrc
! enrvarE sEprrc
I corurmururry sysrEM
**:I. SEPARATE PERMITS REQUIRED FOR ELECT, MECH, PLBG, GAS EQUIP, PREFABS & INSERTS ***
Icas, Ecrrcr (nAvABLE
ro NHc) finmenrcaN ExpREss
E"czrrso florscovrnPAYI{ENT METHOD: L
*1.***{.Xr<r.***********r<******r(*{.*(****r(X*******X****'F**r(***X****:k**************************
ZONE : OF FICE R :
Approval:_ City:DATE:F LOOD:
LH:RH: B:
BFE+2ft=
oif)
APPLICANT'S NAlvlE : RamJack
RECEIVED JUil
29 2OI5
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION
TYPE: RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
DEVELOPER:
PROJECT ADDRESS| 1e52
uillsboro Sr
SUBDIVISION:
CITY: Wi.lminston
BLOCK #:
PROPERTY
OWNER'5 NAIvIE:
John Bone
OWNER'S ADDRESSi t952 Hiflsboro sr
CONTRACTOR: RamJack
ADDRESS: 4122 Bennet.t Memorial Rd
EMAIL ADDRESS: denise@ramiackusa. com
CITY: I,Iilltlngton
LICENSE #i 531'tB
CITY: Durham
PROIECT CONTACT PERSON: Dcnise sykes
ExrsrrNc coNsTRucrroru,
tr ALTERATToN
f] nrruovarroru [lcrruennr- REpArRs
I nrlocnrroru
NEW CONSTRUGTTON:
I rnrCr NEW RESTDENCE or ! nOOrrrON TO EXTSTTNG RESTDENCE
**PLEASE CHECK AND ANSWER
BELOW ALL THAT APPLY TO YOUR PRO]ECT:
I nrr GARAGE
-
sF E orr GARAGE sF
n poRcH
-
sF
! surunooN
_sF I noor-
sF I sronace SHED
_ sF
SF OTHER: SF
! cneeruxousE
-
sF I orcr
TOTAL HEATED
SQ FT:TOTAL
5Q FT UNDER ROOF:
TOTAL AREA
SQ FT:
TOTAL PROIECT COSTlLesst-og
! $ $raoo.oo # OF STORIES: z
Is Any ELECTRICAL, PLUMBING
or MECHAT{ICAL
Work Being Done
to the Accessory Structune?
f Ves E] to
If the project
is a Relocation,
is thene a NaturaL Gas Line on the Curnent
Site? [ Ves I *o
Is thene Electrical Powen on
this Building? [E]Ves [ *o
pRopERTy usE
/ occupANcy:
E] STNGLE FAMTLY
fl ouelrx
! rowruuouse
DESCRIPTION OF WORK: Add
support to foundation in the form of pipe piers and wood qirder.
and
ordinances and regulations. The NHC Development Services Cenler will be notilied of any changes in the approved plans and specifications or change in contractor or
contractor information. .--NOTE:Any Work Performed W/O the Appropriate Permits will be in Violation of the NC State Bldg Code and Sub.iect to Fines Up To $500.00"..
oWNER/coNTRACToR:RamJackDenise_.WE€-sIGNATURE:
--fr'ffi,"1
***********************r.*1.****************************r<******r(*********,***,**************
rs rHE pRopERTy LoCATED rN A FLOODPLATN?
n VeS E ruO
ExIsTINGIMPERVIoUsAREA:-sQFTToTALAcREsDIsTURBED:-
NEW rI{PERVTOTJS AREA: SQ FT EXrST LAND DTSTURBTNG PERMTT:
n VrS
[-l ruO
wArER:
I creua
f] comNururry
sysrEM
! enrvare wrll ! crrurnal well
sEWER:
I creun
f] crrurnnl sEprrc
I enrvarr sEprrc
E coNmururry sysrEM
*** SEPARATE PTRMITS REQUIRED FOR ELECTJ MECH' PLBG' GAS EQUIP' PREFABS & INSERTS **+
pAyMENr METHoD:
fJ cos,
f] cr.c* (pAyABLE
ro NHc)
[ amrnrcan ExpREss
il ,ctvrso f] orscoven
***r.**********************i.**************r.*****X******r.**i.r(******r(**********r(***********
REVISED DAIE 04/71/12
ZONE:
_ OFFICER:
BFE+2ft=
AVN
pe
z l5 -/ilY)
Ao, t-6"6
APPLICATION
Number
(Office Use)
DATEi 4/'t /15
PHONE
#:
ZIP:28403
LOT #:
PHONE #: 97a'762 6't'12
ST: Nc ZIPi 28403
ST: rc ZlPz zttos
PHONE
f : st9-3oe..e't2't
PHONE #: ete-,ae 9't2't
Comment:
(FOR OFFICE UsE ONLY)
PERMIT FEE: $.
#^a
6r
SETBACKS: F
:_ LH :_ RH:_ B:_
NEW HANOVER COUNTY
BUILDTNG PERMIT
APPLICATION
TYPE; RESIDENTXAL
PLEASE ANSIdER
ALL QUESTIO},IS APPLICIBLE TO YOUR PRO]ECT
rProject ResponslbllitlP
y.:Ily,r ulre: -fP&L J2oatg oare,0-)1-rJ-
DEVELOPER:
PRO]ECT ADDRESS:
ProflE
*:
SUBDIYISIOiI:BLoC( *: LoT *3
ztP.z-t(LtL
PROPERTY
o.tr{ER'S
O{IIER'S ADDRESS:
MIiIE:
U6
atD CITYI
CONTRACTOR:LTCENSE *:accouilr
*:
ADDREsS:
crTY: IJ.L*Sl./v(- P. Z tLi tZ-
EI{AIL ADDRE5S:PIi0NE *tQlb'Llq -bv't+T_l
Plro E *3
1lo-Z+.1 -bt+T
PEZ 6- l]1,+
&ots-@,Tq
lpp-ucarrou I
,lrber
(Offlc. 1r..)
PffirE *:tq,Y- 5-98-33/V
-srzl/L-zr*zx\lt
PRO]ECT CONTACT PER5ON:
ErIsr$rG coNsTRucrroit:
ffirenarroN
fl nercvarron
f] e elrenaL neparas
n RELocATrotv
iIET''
COiETRI,CTIO
:
! ENTCT EN RESIDETICE
O" [r-AOOrrrOI IO EXIST C RE5IDE CE
.+LEASE CHEC( ATO AIISN'ER BELot' ALL THAT APPLY TO YOI'R PRO]ECT:
flnrr enee e SF
I oer ennase
l*l pool sFffi**.E- ttrtr
ToTAL PRolEcT cosTlrsr-or1
, $ Lt(7?1 # oF STORIES3 \ _/
Is Any ELECTRICAL,
Ptlrl{BI 6 or }IECHANICAL work Being Done to the Accessory Structure}
ffV"r f] Uo
If the project
is a Relocationr is there a Natural Gas Line on the Curr€nt
Sitel EVes
El6
Is thepe Electrical Powen on this auilding? ffi/Yes I uo
PnoPERw lrsE
/ occlpArKvr,M@15
gt.I. tr cuer-u
I rowr'nroupr l6't't yl( Dec6-
DEscRrpmoil oi *o*, 2uftjtt"lt BtDpat- nm'.u].,
Jt f-tt
OISC{AII ER I heteby ce.tt hal€ll htumaton in bi6 applcaton i6 cofiectend dlrarkwi$ comply wih he SEl. Euildhg Code and dl otFrspplicsbie SEb sod b.al ta|/6
8nd odinencos and rBgulalions. The NHC
DsvelopmentSs ic* CenErwillbo notlied ofanychangee h lh6 sppDved plan6and 6p€ci6c€ljons or chango h cont&br or
TOTAL HEATED SQ FT3 ?T) TOTAL 5Q FT UNDER
RooF: KS
I ToTAL AREA s9ri| 9?)................
oont&br lnbrmaton, rlgOIEr Any Work P€rbrmed w/O h€ AppEprlab PerlnllBwll b€ in VioL{on ot ihe NC
SEb Sldg Cod6 and Subigct Ir Fin€6 lJp To
$500,0e-
ot{NER/coNTMcToR !Vt OD
stquruaez--7-n*i2a-L,-
-
:t
+* + tt* +*+ +*+* +* * ***** ****
Jlfil{ii1+* +*+********+ +!r* *+*+
rs rHE prcpERw LocArED Ilt A FLooDpLAril?
ff yEs p ro 1,;r,u-
EXISTIiIG IIi,IpERvIoIJs AREA:
-
sQ FTTOTAL ACRES DISTURBED:
NEW IfiPERVIOTJS AREA:
5Q FT
EXrST LAiD DrSn RBrr{G pERfirr: I ves l-'l Ho
,weaz{tmte fl co+uuw svsrem
! pRrvArE uELL
f} ceHrnal weli
sEsrER:
NfcFpuA
! cenrnar-
sEpTrc
E pRrvATE sEpTIc
I couuunrw
svsr:u
+,r" SETaRATE pe&"riTs REquI880 FOR ELECT,
trE(lt, pl86r @S Equrp, pREFrrAS & $,tsERTs **r
pAyr'rE
r ErHoDs
I csn
f] clrecr (payABLE
ro tlrc)
E erur AcccuHr
St*7rr* [ orscorn
*+*l.*ll *tl.*{.****iL*{.***{1{ra*+*{.****{r+*d,***:i**irL *i}**t:F;* *ri:ha n:trt***:r,t**r*
*t** *t i*ti{.t*it *tttt,a(9D)
zon*:firl[-"L oFFrcER:
2r.rr1
Approval :- city:[.] rUVl
*
sr
! eoeor
-sF
I sronaee
OTHER:
suNR00f4
GREENHC[JsESF
****+i**t++***
col,r,.ntll1ctf $r
lx c.,r..l
C.$l lnpeclion Reourreo, 91
0-254-mffl
(ros orEcE usr dry) l,\-\\ mLLfyl lrlt ;,.:L- i
sqrBAcKs: r,r..l/n LattrlA nn:
lC' e: J'.i'
I rn { BFE+2ft=
Jr*t r.r,
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